General anaesthesia for photodynamic therapy of port-wine stain in children: A retrospective study

作者全名："Tang, Linlin; Liu, Wei; Yu, Qian; Guo, Hongjie; Yang, Xue; Xiong, Ling"

作者地址："[Tang, Linlin; Liu, Wei; Yu, Qian; Guo, Hongjie; Yang, Xue; Xiong, Ling] Chongqing Med Univ, Dept Anesthesiol, Childrens Hosp, Chongqing 400014, Peoples R China; [Tang, Linlin; Liu, Wei; Yu, Qian; Guo, Hongjie; Yang, Xue; Xiong, Ling] Minist Educ, Key Lab Child Dev & Crit Disorders, Chongqing 400014, Peoples R China; [Tang, Linlin; Liu, Wei; Yu, Qian; Guo, Hongjie; Yang, Xue; Xiong, Ling] China Int Sci & Technol Cooperat Base Child Dev &, Chongqing 400014, Peoples R China; [Tang, Linlin; Liu, Wei; Yu, Qian; Guo, Hongjie; Yang, Xue; Xiong, Ling] Natl Clin Res Ctr Child Hlth & Disorders, Chongqing 400014, Peoples R China; [Tang, Linlin; Liu, Wei; Yu, Qian; Guo, Hongjie; Yang, Xue; Xiong, Ling] Chongqing Key Lab Pediat, Chongqing 400014, Peoples R China"

通信作者："Xiong, L (通讯作者)，Chongqing Med Univ, Dept Anesthesiol, Childrens Hosp, Chongqing 400014, Peoples R China.; Xiong, L (通讯作者)，Minist Educ, Key Lab Child Dev & Crit Disorders, Chongqing 400014, Peoples R China.; Xiong, L (通讯作者)，China Int Sci & Technol Cooperat Base Child Dev &, Chongqing 400014, Peoples R China.; Xiong, L (通讯作者)，Natl Clin Res Ctr Child Hlth & Disorders, Chongqing 400014, Peoples R China.; Xiong, L (通讯作者)，Chongqing Key Lab Pediat, Chongqing 400014, Peoples R China."

来源：PHOTODIAGNOSIS AND PHOTODYNAMIC THERAPY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000989783600001

JCR分区：Q2

影响因子：3.1

年份：2023

卷号：41

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：General anaesthesia; Photodynamic therapy; Port-wine stain; Children

摘要："Aims: This report intended to assess the safety and efficiency of general anaesthesia with preserved spontaneous breathing for pain management in photodynamic therapy (PDT) of port-wine stains (PWS) in paediatric patients. Methods: This study included 1960 Hemoporfin PDT procedures performed under general anaesthesia on 560 PWS patients. Medical records were retrospectively analysed. All of the procedures performed under general anaesthesia with preserved spontaneous breathing. Results: The patients comprised males (43.93%) and females (56.07%). Ninety percent of cases were ASA class I, and 10% were class II, no case was class III or higher. Adverse events accompanying general anaesthesia included postoperative irritability (8.98%), carbon dioxide pressure (PCO2) >50 mmHg (15.97%), movement during surgery (6.98%), vomiting (0.2%), laryngospasm (0.2%), unplanned endotracheal intubation (0.05%), upper airway obstruction (0.05%), and hypoxia (0.1%). The FLACC score was <4 points in 84% of cases and 4 similar to 6 points in 16% of cases. Conclusions: General anaesthesia with preserved spontaneous breathing has few complications and appears safe and feasible for PDT in most children with PWS."

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