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Sevoflurane for induction and intubation in children undergoing congenital cardiac surgery

S Girotra1, A Singh, Y Mehta

  • 1Department of Anaesthesiology, Cardiac Surgery, Escorts Heart Institute and Research Centre, Okhla Road, New Delhi, India. samirgirotra@hotmail.com.

Annals of Cardiac Anaesthesia
|September 12, 2007
PubMed

Insights

Sevoflurane provides excellent conditions for nasal intubation in pediatric cardiac surgery patients. This anesthetic agent ensures hemodynamic stability and safety during induction and intubation procedures.

Area of Science:

  • Anesthesiology
  • Pediatric Cardiac Surgery

Background:

  • Sevoflurane is an inhalational anesthetic agent commonly used in pediatric anesthesia.
  • Assessing its efficacy and safety for endotracheal intubation in pediatric cardiac surgery is crucial.

Purpose of the Study:

  • To prospectively evaluate the induction and intubation characteristics of sevoflurane in children undergoing congenital cardiac defect repair.
  • To assess the safety and hemodynamic stability during sevoflurane-induced anesthesia and intubation.

Main Methods:

  • Prospective study of 23 children (3 months to 6 years) undergoing cardiac surgery.
  • Anesthesia induced with sevoflurane and nitrous oxide after chloral hydrate premedication.
  • Nasal endotracheal intubation performed without neuromuscular blockers or opioids; induction/intubation times and conditions recorded.

Main Results:

  • Excellent intubating conditions in 91.3% of patients, good in 8.7%.
  • Mean induction time: 43.7 ± 4.57 seconds; mean intubation time: 149.1 ± 15.6 seconds.
  • Hemodynamic parameters remained stable throughout, with no adverse airway events observed.

Conclusions:

  • Sevoflurane facilitates rapid and effective induction and intubation in pediatric cardiac surgery.
  • It provides excellent intubating conditions with preserved hemodynamic stability and a favorable safety profile.

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