Postoperative apnea, bradycardia, and oxygen desaturation in formerly premature infants: prospective comparison of spinal and general anesthesia.
作者： Elliot J. Krane , Charles M. Haberkern , Lawrence E. Jacobson
DOI: 10.1097/00000539-199501000-00003
关键词: Periodic breathing 、 Minimum Heart Rate 、 Respiratory rate 、 Atropine 、 Bradycardia 、 Tetracaine 、 Central apnea 、 Medicine 、 Anesthesia 、 Apnea
摘要: Eighteen formerly premature infants scheduled for inguinal herniorrhaphy and who were less than 51 wk postconceptional age assigned to either the general anesthesia group (GA: atropine, halothane, nitrous oxide) or spinal (SA: hyperbaric tetracaine). Twelve-hour, three-channel continuous recordings of respiratory rate (chest wall impedance), electrocardiogram (ECG), hemoglobin O2 saturation (SpO2) obtained preoperatively after surgery. These analyzed short (11-15s) long (> 15 s) apnea spells, periodic breathing, episodes oxygen desaturation bradycardia. Infants in GA had lower postoperative minimum SpO2 (68.7% +/- 11.4%) heart (79 bpm 19) SA (80.7% 9.2%, 109 30, respectively; P < 0.05) they (79.0% 13.7%, 93 31, 0.05); pre- studies did not differ. There no differences incidence central apnea. We conclude that reduces bradycardia undergoing herniorrhaphy.
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