[Optimization of anesthesiological maintenance of x-ray surgical interventions in children].
Two procedures for intravenous anesthesia during X-ray surgical interventions were evaluated in 38 children aged 3 to 13 years. Initial anesthesia (with intramuscular midazole and ketamine), followed by the fractional use of the latter agents in Group 1 and propofol in Group 2, in order to maintain anesthesia. Blood pressure (BP) (noninvasively), heart rate (HR), SpO2, and respiratory rate (RR) were monitored. After the initial anesthesia, mean BP (BPmean) increased by 40 and 24% in Groups 1 and 2, respectively. So did HR by 23 and 31%, respectively. In Group these changes retained throughout the basic stage of intervention. In Group 2 on propofol infusion, BPmean and HR returned to normal values and remained at this level till the end of the intervention, SpO2 and RR did not differ from the baseline values in both groups. Thus, a combination of intravenous ketamine and intramuscular propofol provides steady-state values of BP and HR at the basic state of X-ray surgical intervention in children, which increases the reliability of studies and surgical safety in patients.
Sterkhov
R V
RV
Vinogradova
M S
MS
Mizikov
V M
VM
D000293:Adolescent; D000771:Anesthesia, Intravenous / Q000379:methods*; D019162:Anesthetics, Combined; D018686:Anesthetics, Intravenous; D002404:Catheterization; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D007275:Injections, Intravenous; D007649:Ketamine; D008297:Male; D008874:Midazolam; D016343:Monitoring, Intraoperative; D015742:Propofol / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D020535:Video-Assisted Surgery
D019162:Anesthetics, Combined; D018686:Anesthetics, Intravenous; D007649:Ketamine; D008874:Midazolam; D015742:Propofol