[Central hemodynamic changes in children with locomotor system diseases during surgery and anesthesia].
Various neurovegetative reactions and disorders of circulation are observed in children with consequences of infantile cerebral paralysis (ICP). The manifestation of these reactions depends on the severity of motor disorders and the local painful syndrome. This study was aimed at detecting the changes in the central hemodynamics and development of measures preventing these changes during narcosis in patients with orthopedic consequences of ICP subjected to surgical treatment in an outpatient setting. In addition, we studied the possibility of wide use of calypsol in this category of patients in a one-day hospital. Autonomic reactivity was studied by cardiointervalography after Baevskiĭ. The stroke and minute volume were assessed by tetrapolar thoracic rheography after Kubecik. A total of 120 patients aged 7-14 years with ICP consequences were divided into 3 groups with motor disorders of different severity. Examinations during preparation to narcosis and narcosis revealed a relationship between autonomic and hemodynamic disorders and the severity of motor disorders. An optimal method for preventing hemodynamic changes associated with narcosis in an outpatient setting is proposed.
Ostreĭkov
I F
IF
Ershov
V L
VL
Selin
V A
VA
Kiselev
A V
AV
D000293:Adolescent; D000768:Anesthesia, General; D000778:Anesthetics, Dissociative; D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology; D002648:Child; D004562:Electrocardiography / Q000187:drug effects; D006439:Hemodynamics / Q000187:drug effects*; D006801:Humans; D007432:Intraoperative Period; D007649:Ketamine; D009140:Musculoskeletal Diseases / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D011229:Preanesthetic Medication; D013997:Time Factors
D000778:Anesthetics, Dissociative; D007649:Ketamine