Abstract | OBJECTIVE: MATERIALS: Sixty-four ASA I and II pediatric patients with CP undergoing elective neurosurgery were randomly divided into the sevoflurane group (S group, n = 32) and the propofol group (P group, n = 32). Anesthesia was maintained with sevoflurane and propofol until the end of the operation. Demographic information, operation information and hemodynamic variables were recorded. The levels of hormones were evaluated preoperatively as the baseline (T0), 1h after the beginning of the operation (T1), immediately at the end of the operation (T2) and 72 h postoperatively (T3). RESULTS: There were no significant differences in the two groups in terms of patients' demographics and intraoperative information, such as operation duration, blood loss and transfusion volumes, and fluid infusion volume (P>0.05). In both groups, compared to those at T0, the levels of TSH, FT3, TT3 and ACTH at T1, T2 and T3 were significantly lower. The levels of FSH, PRL and GH at T3 were also significantly lower (P<0.05). The FT3 and TT3 levels of both groups at T2 and T3 were significantly lower than those at T1, but the ACTH level was significantly increased (P<0.05). Compared to the levels at T2, the TSH, FT3, FT4 and ACTH levels of the two groups at T3 were significantly reduced (P<0.05). The baseline hormone levels of both groups were similar (P>0.05). At T1, the FT3, TT3, FT4, TT4 and ACTH levels in the P group were significantly lower than those in the S group (P<0.05). At T2, the TT3 and ACTH levels of the P group were significantly lower than those of the S group (P<0.05) At T3, the TT4 level in the P group was significantly lower than that of the S group (P<0.05). CONCLUSION: TRIAL REGISTRATION: Clinical trial registration. This trail was registered at Chinese Clinical Trial Registry (http://www.chictr.org.cn, Jun Xiong) on 28/12/2021, registration number was ChiCTR2100054885.
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Authors | Jun Xiong, Mengrui Wang, Jie Gao, Yafen Zhou, Yanan Pang, Yongxing Sun |
Journal | PloS one
(PLoS One)
Vol. 18
Issue 7
Pg. e0288863
( 2023)
ISSN: 1932-6203 [Electronic] United States |
PMID | 37506116
(Publication Type: Randomized Controlled Trial, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright: © 2023 Xiong et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
Chemical References |
- Propofol
- Sevoflurane
- Adrenocorticotropic Hormone
- Thyrotropin
- Methyl Ethers
- Anesthetics, Inhalation
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Topics |
- Humans
- Child
- Propofol
(therapeutic use, pharmacology)
- Sevoflurane
- Craniopharyngioma
(surgery)
- Anesthesia, General
- Pituitary Neoplasms
(surgery)
- Adrenocorticotropic Hormone
- Thyrotropin
- Methyl Ethers
(therapeutic use)
- Anesthetics, Inhalation
(therapeutic use)
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