[Anesthesia using propofol during surgery of strabismus in children. A comparison of two different protocols of induction and maintenance].
The purpose of this study is an investigation of two protocols using propofol as induction and maintenance agent in 100 children scheduled for strabismus surgery (4-8 year, ASA I, NYHA I). Protocol I; Propofol 6 mg.kg-1 in 60 s with fentanyl 2 micrograms.kg-1 and vecuronium bromide 0.08 mg.kg-1 for induction, followed by propofol 11 mg.kg-1 for maintenance; Protocol II; Propofol 3 mg.kg-1 in 20 s with fentanyl 3 micrograms.kg-1 for induction, followed by propofol 12 mg.kg-1.h-1 for maintenance. It appears that the use of protocol I offers significant advantages compared with protocol II: a better quality of induction with a lesser incidence of pain during injection of propofol; a better quality of maintenance with very infrequent bradycardia from oculocardiac reflectivity; and a better recovery with a greatly reduced frequency of nausea and vomiting.
Dandoy
M
M
Département d'Anesthésie-Réanimation, C.H.N.O. des Quinze-Vingt, Paris.
Poisson
F
F
Lampl
E
E
Reynaud
S
S
Rondet
S
S
Proust
M N
MN
Mallet
A
A
Maurin
J P
JP
D000771:Anesthesia, Intravenous; D002648:Child; D002675:Child, Preschool; D005283:Fentanyl / Q000008:administration & dosage*; D006801:Humans; D015742:Propofol / Q000008:administration & dosage*; D013285:Strabismus / Q000601:surgery*
D005283:Fentanyl; D015742:Propofol
Anesthésie au propofol lors de la chirurgie du strabisme chez l'enfant. Comparaison de deux protocoles différents d'induction et d'entretien.