Anesthesiology and intensive care during epilepsy surgery in children and adolescents.
Thus far there are no known studies of the management of anesthesiology and intensive care in cases of implantation of subdural plates for the purpose of determining the epileptogenic areal and of subsequent epilepsy surgery. Such operative measures are still considered too risky, especially in the case of small children. The authors report on cases of 45 children and adolescents who underwent this kind of surgery between December 1992 and December 1997 in Gilead hospital. In order to judge the anesthesiological risk the children were divided into three age groups: A, 1-5 years (n = 12); B, 6-11 years (n = 14); C, 12-18 years (n = 19). In none of these groups were there complications which in retrospect would have shed a negative light on the operation.
Sommer
H J
HJ
Department of Anaesthesiology and Surgical Intensive Care Gilead I, Bielefeld, Germany.
Dräger
M
M
Brandt
U
U
Opitz
A
A
D000759:Adjuvants, Anesthesia / Q000008:administration & dosage; D000293:Adolescent; D000758:Anesthesia; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000927:Anticonvulsants / Q000008:administration & dosage; D016063:Blood Loss, Surgical; D002648:Child; D002675:Child, Preschool; D003422:Critical Care; D004569:Electroencephalography / Q000187:drug effects*; D004827:Epilepsy / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans; D007223:Infant; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage; D012189:Retrospective Studies; D012307:Risk Factors
D000759:Adjuvants, Anesthesia; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D000927:Anticonvulsants; D003473:Neuromuscular Nondepolarizing Agents