Remifentanil combined with lidocaine on tracheal and bronchial foreign body removal in children

Objective To investigate the effect of remifentanil combined with lidocaine on tracheal and bronchial foreign body removal in children.Methods 40 children undergoing tracheal and bronchial foreign body removal were assigned into group R and group F,with 20 children in each group.Each child in two groups was inhaled sevoflurane after entering the operation room,and then was complied venipuncture after which the child was stopped inhaling sevoflurane.Hereafter,the child in group R was injected 1% lidocaine 3 mg·kg-1,0.05 mg·kg-1 vecuronium bromide and was pumped propofol and remifentanil with the speed of 50~150 μg·kg-1·min-1 and 0.1~0.5 μg·kg-1·min-1 respectively,while the child in group F was injected fentanyl 2 μg·kg-1,0.05 mg·kg-1 vecuronium bromide and was pumped propofol but was not injected 1% lidocaine.High frequency jet ventilation was applied in two groups.Intraoperative body movement,cases of breath holding and bucklng,low oxygen saturation,the times of bronchoscopy removing and postoperative bucking,postoperative agitation and awaken time or operation time were all observed.Results There was no statistic significance in the difference of intraoperative body movement,low oxygen saturation,the times of bronchoscopy removing,postoperative agitation and operation time between the two groups,but the child in group R had fewer intraoperative and postoperative bucking and woke up more quickly,and intraoperative hemodynamic state in group R was more stable than that in group F.Conlusions Children undergoing tracheal and bronchial foreign body removal with the application of reminiscential combined with lidocaine have fewer intraoperative or postoperative complication,wake up more quickly with higher recovery quality.