[Hemodynamic changes during anesthesia in orthotopic liver transplantation in 1-5-year-old children].
The anesthetic management of orthotopic hepatic transplantation (OHT) was analyzed in 49 children aged 1 to 15 years. Ten protocols of anesthesia implemented in small-age children (1 to 5 years) were analyzed in detail. The mean age of children (6 girls, 4 boys), operated on in 2002-2004, was 3.0 +/- 2.7 years; their mean weight was 13.6 +/- 4.17 (9-22) kg. The purpose of the case study was to study the dynamics of the cardiovascular system and the pattern of hemodynamic impairments accompanying the anesthetic course in OHT from a living related donor. All surgeries were made under balanced general anesthesia: induction - midazol (0.04 +/- 0.01 mg/kg), cetamine (2.77 +/- 0.64 mg/kg), phentanile (3.1 +/- 0.21 mg/kg), myorelaxation--pipecuronium bromide (arduan) (80.3 +/- 11.44 microg/kg). Low-flow inhalation by isofluoran -0.8-2.0 ALC%, minimal-flow (0.7-1.6 MAC), was used.
Vabishchevich
A V
AV
Ushakova
I A
IA
D000768:Anesthesia, General; D002675:Child, Preschool; D005260:Female; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D007223:Infant; D008099:Liver / Q000098:blood supply / Q000601:surgery*; D008103:Liver Cirrhosis / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods; D019520:Living Donors; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods*