[Inhalational anesthesia during adenoidectomy in children].
The paper deals with the comparison of inhalational anesthesia using a fluoroethane-monooxide-oxygen mixture in apparatus-mask and endotracheal fashions in children during adenotomy. Children aged 4 to 15 years, who had undergone apparatus-mask (n = 51) and endotracheal (n = 57) anesthesia, were examined. The patients were divided into two age groups: 4-8 years and 8-15 years. The parameters of central hemodynamics, the data of cardiointervalograms, respiration rate, and SatO2 were studied. The studies were repeated 5 times for each patient at the stages of anesthesia and surgery. The use of inhalational fluroethane-monoxide-oxygen anesthesia in apparatus-mask and endotracheal fashions was found to be inadequate in children during adenotomy without addition of analgesics. In 4-8-year-old children, apparatus-mask fluoroethane-monooxide-oxygen anesthesia during surgery is ineffective, as shown by the data of central hemodynamics and cardiointervalography. The pain syndrome was observed in the postoperative period. Endotracheal fluoroethane-monooxide-oxygen anesthesia fails to ensure adequate analgesia during intubation and surgery. The pain syndrome and sympathicotony were seen in the postoperative period. In 8-15-year-old children, apparatus-mask fluoroethane-monooxide-oxygen anesthesia is characterized by prehypoxia and inadequate anesthesiological defense at the traumatic stage of an operation. In endotracheal fluoroethane-monooxide-oxygen anesthesia, the stability of cardiac output is maintained by the tension of more mature compensatory mechanisms responsible for regulation of central hemodynamics. A marked sympathicotony is noted at the traumatic stage of a surgery, as evidenced by cardiointervalography. There is motor agitation in the postoperative period.
Pivovarov
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D000233:Adenoidectomy; D000293:Adolescent; D000769:Anesthesia, Inhalation / Q000009:adverse effects / Q000379:methods*; D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D002648:Child; D002675:Child, Preschool; D004562:Electrocardiography; D006439:Hemodynamics; D006801:Humans; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks; D016343:Monitoring, Intraoperative; D011183:Postoperative Complications; D011229:Preanesthetic Medication; D015656:Respiratory Mechanics
D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation