General Anesthesia, RSV Infection in Children Less Than 5 Years of Age
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