[Optimization of anesthetic maintenance using two-channel laryngeal masks Proseal during endovascular correction of congenital defects in infants and young children].
The paper analyzes the efficiency of the authors' procedure for anesthetic maintenance based on a combination of inhalational (sevoflurane) and intravenous (1% propofol) anesthesia on spontaneous breathing through a ProSeal laryngeal mask airway in the X-ray endovascular correction of congenital heart diseases in infants and young children. The study included 118 children aged 2 to 7 years with secondary atrial septal defect, who had undergone endovascular defect correction, by applying an Amplazer septal occluder. The key points of the anesthetic maintenance proposed by the authors are: (1) substitution of routine pharmacological premedication for psychological (the presence of parents); (2) inhalational (sevoflurane) anesthesia in the induction of anesthesia; (3) replacement of an endotracheal tube by a ProSeal laryngeal mask; (4) refusal of myorelaxants and respiratory support without artificial ventilation. The authors' anesthesia protocol during these operations provides a safe perioperative period.
Kovsh
D N
DN
Iavorovskiĭ
A G
AG
Kuznetsov
R V
RV
Prosvirin
V K
VK
Dolbneva
E L
EL
Trekova
N A
NA
D000768:Anesthesia, General / Q000379:methods* / Q000523:psychology; D013504:Cardiovascular Surgical Procedures / Q000379:methods* / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D006330:Heart Defects, Congenital / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D017214:Laryngeal Masks; D019060:Minimally Invasive Surgical Procedures; D011229:Preanesthetic Medication / Q000379:methods / Q000523:psychology; D012121:Respiration, Artificial / Q000295:instrumentation* / Q000379:methods / Q000523:psychology; D012129:Respiratory Function Tests; D013315:Stress, Psychological / Q000517:prevention & control; D016896:Treatment Outcome