[Anesthetic aspects of the primary treatment of labio-maxillo-palatal clefts].
This study of 97 operations discusses our anaesthetic experience for labio-maxillary clefts and the problems which arise for the anaesthetist during pre-inter and post surgical periods. This type of functional surgery is carried out on children between 4 and 23 months old, of which 22% presented with associated malformations. Paediatric anaesthetic characteristics in a maxillo-facial context are discussed in detail. We indicate the importance of installing the different surveillance elements before placement of the surgical fields. We treat the problems of drug interactions between the halogenic anaesthetics and vasoconstrictor used for local haemostasis, the limits of spontaneous ventilation and the secondary metabolic consequences of prolonged fasting.
D000015:Abnormalities, Multiple / Q000601:surgery; D000768:Anesthesia, General / Q000379:methods*; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D007223:Infant; D007430:Intraoperative Care; D008437:Maxilla / Q000002:abnormalities* / Q000601:surgery; D008991:Monitoring, Physiologic; D011182:Postoperative Care; D011229:Preanesthetic Medication; D011300:Preoperative Care
Aspects anesthésiques du traitement primaire des fentes labio-maxillo-palatines.