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To explore the application of different administration modes of esketamine in pediatric day circumcision, in order to find an anesthesia scheme more suitable for day pediatric circumcision.
The current clinical study believes that esketamine is suitable for pediatric anesthesia because of its advantages of light respiratory depression, low secretions, low incidence of psychomotor reactions and fast recovery of anesthesia, but there are few related studies on its administration mode and timing in clinical application, this study aims to explore the application of different administration methods of esketamine in pediatric day circumcision, and find an anesthesia scheme more suitable for day circumcision, in order to provide new ideas for anesthesia for pediatric day circumcision.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| single group | Active Comparator | give esketamine 0.75 mg/kg at the time of induction |
|
| intermittent group | Experimental | give esketamine 0.5mg/kg during anesthesia induction, and during the measuring ring esketamine 0.25mg/kg was given again |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Esketamine of single injection | Drug | Single group: give esketamine 0.75 mg/kg at the time of induction |
|
| Measure | Description | Time Frame |
|---|---|---|
| One-time success rate of anesthesia | No movement during anesthesia | During surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Systolic blood pressure | Systolic blood pressure | During surgery |
| Diastolic blood pressure | Diastolic blood pressure | During surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Esketamine of Intermittent injection | Drug | Intermittent group: give esketamine 0.5mg/kg during anesthesia induction, and during the measuring ring esketamine 0.25mg/kg was given again |
|
|
| Heart rate | Heart rate | During surgery |
| intraoperative propofol dosage, esketamine dosage | intraoperative propofol dosage, esketamine dosage | During surgery |
| Duration of surgery | Duration of surgery | During surgery |
| Time to open eyes | Time to open eyes | During surgery |
| Time to talk | Time to talk | During surgery |
| VAS(visual analogue scale) score | A score to assess pain, use a swimming ruler about 10 cm long, marked with 10 scales on one side, with "0" and "10" ends at each end, 0 points means no pain, and 10 points represent the most severe pain that is unbearable. | 12 hours after the end of surgery |
| Incidence of adverse effects (hypotension, hypertension, respiratory depression, postoperative pain, diplopia, mania) | Incidence of adverse effects (hypotension, hypertension, respiratory depression, postoperative pain, diplopia, mania) | 12 hours after the end of surgery |