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[Optimization of anesthesiological maintenance of x-ray surgical interventions in children]
Insights
Intravenous ketamine combined with intramuscular propofol anesthesia offers stable blood pressure and heart rate in pediatric X-ray surgeries. This combination enhances study reliability and patient safety during procedures.
Area of Science:
- Pediatric Anesthesiology
- Medical Imaging Safety
Background:
- X-ray surgical interventions require reliable anesthesia.
- Maintaining stable hemodynamics in children during procedures is crucial.
Purpose of the Study:
- To compare two intravenous anesthesia protocols for pediatric X-ray surgeries.
- To evaluate the hemodynamic stability provided by different anesthetic agents.
Main Methods:
- 38 children (3-13 years) received initial anesthesia (midazolam, ketamine).
- Group 1: fractional ketamine; Group 2: propofol infusion for maintenance.
- Monitored noninvasive blood pressure (BP), heart rate (HR), SpO2, and respiratory rate (RR).
Main Results:
- Both groups showed initial BP and HR increases post-anesthesia.
- Group 1 maintained elevated BP and HR throughout.
- Group 2 (propofol) normalized BP and HR, maintaining stability.
- SpO2 and RR remained stable in both groups.
Conclusions:
- Intravenous ketamine and intramuscular propofol combination ensures steady BP and HR during pediatric X-ray interventions.
- This anesthetic approach improves procedural reliability and patient safety.
Abstract:
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.