[Application of intravenous and inhalational combined anesthesia with midazolam, fentanyl 1 and enflurane in cleft palate repair operation].
OBJECTIVE
To observe the effects of intravenous and inhalational combined anesthesia with midazolam, fetanyl l and enflurane in the cleft palate repair operation.


METHODS
128 patients prepared for cleft palate repair operation were selected randomly. Anesthesia was induced with 0.2-0.3 mg/kg midazolam, 3-5 micrograms/kg fentanyl 1, and intubation was facilitated with 1-2 mg/kg succinylcholine. Anesthesia was maintained with fentanyl 1 and enflurane, and changes of hemodynamics and incident rates of hiccup, cough and vomit were observed during and after operation.


RESULTS
1. After inducing, systolic pressure (SP) was decreased by 5%-8%, diastolic pressure (DP) decreased by 8%-10%(P < 0.05), and there were no significant changes in heart rates (HR) (P > 0.05). After intubation, there were no significant changes in SP, DP and HR. 2. After induction, the incident rates of hiccup and cough were 3.1% and 7.8% respectively. After operation, the incident rate of vomit was 7.0%. 3. The volume of lost blood was 5% less than the patient's whole blood volume.


CONCLUSIONS
The anesthetic way is easy to be controlled with few side effects, and patients can revive easily, so it is a safe, efficient and perfect way in cleft palate repair operation.
Wang
X
X
Department of Anesthesiology, Stomatology Hospital, West China University of Medical Sciences.
Bai
H
H
Shu
L
L
D000768:Anesthesia, General / Q000379:methods*; D000769:Anesthesia, Inhalation; D000771:Anesthesia, Intravenous; D002648:Child; D002675:Child, Preschool; D002972:Cleft Palate / Q000601:surgery*; D004737:Enflurane; D005260:Female; D005283:Fentanyl; D006801:Humans; D008297:Male; D008874:Midazolam
D004737:Enflurane; D008874:Midazolam; D005283:Fentanyl