[Peculiarities of the course of the postoperative period depending on the method of general anesthesia].
Through a series of tests (Mini-Mental State Examination scale, drawing clock test, the test for memory 10 words) carried on a study of cognitive functions in perioperation period in children aged from 6 to 10 years. There were examined 45 patients, undergoing short-term operational interventions in the clinic of urology. The children were divided into 3 groups depending on the type of anesthesia carried out. Assessment of the adequacy of anesthesia was carried out with traditional methods by intra-operation monitoring of the dynamics determined blood pressure: systolic, diastolic, and mean, SaO2, heart rate. As a result of the carried out research it is established, that the maximum changes of cognitive functions in perioperation period were in patients of the 3rd group, which held a combined general anesthesia with the use of sevorane, fentanyl, and subnarcotic doses of ketamine. This is confirmed by the obtained dynamics in carrying out the above-mentioned tests.
D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods*; D019162:Anesthetics, Combined / Q000008:administration & dosage* / Q000009:adverse effects; D000778:Anesthetics, Dissociative / Q000008:administration & dosage; D018685:Anesthetics, Inhalation / Q000008:administration & dosage / Q000009:adverse effects; D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects; D001794:Blood Pressure; D002648:Child; D003072:Cognition Disorders / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage / Q000009:adverse effects; D006339:Heart Rate; D006801:Humans; D007649:Ketamine / Q000008:administration & dosage / Q000009:adverse effects; D008297:Male; D008569:Memory Disorders / Q000453:epidemiology / Q000209:etiology; D008738:Methyl Ethers / Q000008:administration & dosage / Q000009:adverse effects; D016343:Monitoring, Intraoperative; D011184:Postoperative Period; D000077149:Sevoflurane; D013514:Surgical Procedures, Operative / Q000379:methods
D019162:Anesthetics, Combined; D000778:Anesthetics, Dissociative; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D000077149:Sevoflurane; D007649:Ketamine; D005283:Fentanyl