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SM ISO690:2012 MUNTEANU, Gabriela, MALANCO, Serghei. Anestezia cu sevofluran la pacientul pediatric premieră pentru Republica Moldova. Consideraţii generale/aspecte controversate. In: Analele Ştiinţifice (Asociaţia Chirurgilor Pediatri Universitari din RM) , 2009, nr. X, pp. 67-71. ISSN 1857-0631. |
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Analele Ştiinţifice (Asociaţia Chirurgilor Pediatri Universitari din RM) | ||||||
Numărul X / 2009 / ISSN 1857-0631 | ||||||
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Inhalational anesthesia is the preferred technique of induction in the paediatric age group. Halothane with its negligible pungency and minimal effects on airway reactivity has been the cornerstone of paediatric inhalational induction and continues to
be the inhalational agent of choice for pediatric anesthesia in our country despite its propensity to cause bradycardia, hypotension and arrhythmias. Continued research to manufacture an inhalational agent which would match the induction properties of
halothane, with minimal cardiac and hepatic side effects and requiring lesser time for induction and emergence led to the introduction of sevoflurane which is nowadays largely used in developed countries. For the thirst time in Moldova we had the
possibility to work with sevoflurane and apply this anesthesia technique in children. This study was undertaken to compare induction, maintenance and emergence characteristics of sevoflurane seen in our patients and reported to numerous clinical trials done all over the world. Review of the literature suggests that sevoflurane has a definite place in the practice of anaesthesia. This agent is clearly a suitable alternative to halothane for the induction and maintenance of general anaesthesia in paediatric patients
when considered appropriate. On the other hand Sevoflurane may be a major contributory factor in the development of emergence delirium which may not really be of net benefit in children, as this can precipitate an episode of acute pain or distress.
Analgesic strategies must be strictly implemented in order to minimise such recovery room events.
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