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Abstract Objective：To determine the efficacy and safety of ultra fast track anesthesia in pediatric open heart operation.Method：80 pediatric patients undergoing open heart operation in our hospital from January 2013 to December 2013 were divided into the observation group（ ultra fast track anesthesia group） and control group（ traditional anesthesia group） in a random distribution principle，40 cases in each group.The patients in the observation group of the operation room were given Sevoflurane inhalation induction， intravenous Sufentanil and Aikesong followed by endotracheal intubation， anesthesia was maintained with Sevoflurane in operation； the control group patients after entering operation room were given intravenous Propofol， Fentanyl and Aikesong followed by endotracheal intubation， intraoperative propofol， fentanyl for anesthesia maintenance.The two groups of patients were given mechanical ventilation in PCV mode，then determine the mean arterial pressure（ MAP）， central venous pressure（ CVP）， CICU time， postoperative extubation time of stay， postoperative complications and cost of hospitalization of the patients in the two groups.Result：The two groups of patients had no significant difference in indexes such as the hemodynamic index（ P>0.05）.But the postoperative extubation time， CICU stay， hospital costs of the observation group were significantly less than that of the control group， there were significant difference between groups（ P<0.05）.The control group patients with complication rate was 12.5%， the observation group was 5.0%， compared the two groups was statistically significant difference（ P<0.05） Conclusion：The safety and economy are higher in heart ultra fast track anesthesia.This anesthesia method is worth widely spreading in clinical in order to help more children who are undergoing open heart surgery.benefit.
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