RSV Infection in Children Less Than 5 Years of Age, General Anesthesia
Conditions
Keywords
Sevoflurane, general anesthesia, RSV infection, pediatric patients
Brief summary
To investigate the effects of sevoflurane on respiratory parameters and respiratory inflammation in healthy and RSV-infected under general anesthesia and to propose suitable perioperative airway protection measures for children with respiratory virus infection undergoing general anesthesia.
Interventions
Sevoflurane 1%\ 3.5%
Propofol 9\ 15mg/kg/h
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients voluntarily joined this study and signed an informed consent form; 2. Age: 2-5 years old; 3. The patient should have a good general condition and no serious internal medicine comorbidities (ASA classification of the American Anesthesiology Association is Grade I); BMI ≤ 20; 4. Plan to undergo elective adenoidectomy or adenotonsillectomy with tracheal intubation.
Exclusion criteria
1. Children with a history of allergic asthma; 2. Children with space-occupying lesions of the chest and lungs, or acute bronchiolitis or pneumonia; 3. Children with cardiovascular diseases that may cause cough, wheezing, and other symptoms; 4. Children who used leukotriene modulators, β2 receptor agonists, anticholinergics, theophyllines, or hormonal treatment drugs within two weeks; 5. Children allergic to propofol, sevoflurane, or other anesthetic agents; 6. Children with a family history of malignant hyperthermia; 7. Children with liver and kidney dysfunction; 8. The result of rapid antigen detection and nucleic acid test for RSV was inconsistent, or children combined with pathogen infections other than RSV; 9. Children with fever.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative ventilator parameters | After induction of general anesthesia and intubation; at the end of anesthesia | Airway pressure(including Paw, PIP, Pplat), and pulmonary compliance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Inflammation response indications | After induction of general anesthesia and intubation; at the end of anesthesia | The level of NLRP3 and IL-1β measured by ELISA in the tracheal secretions of the patients |
Countries
China