[Application of intravenous total anesthesia in "small" surgical interventions in children]

Klinichna Khirurhiia
|June 14, 2014
PubMed

Insights

A new anesthesia combination of propofol, ketamine, and fentanyl effectively protected children during minor surgeries. This approach ensured adequate anesthesiological defense for pediatric patients aged 3-15.

Area of Science:

  • Pediatric Anesthesiology
  • Surgical Interventions
  • Pharmacology

Background:

  • Intravenous total anesthesia is crucial for pediatric operative treatments.
  • Assessing anesthetic efficacy in children undergoing minor surgical procedures is essential.
  • Optimizing anesthetic regimens for pediatric patients requires careful consideration of drug combinations.

Purpose of the Study:

  • To analyze the results of operative treatments in children using intravenous total anesthesia.
  • To evaluate the effectiveness of a specific anesthetic combination for pediatric minor surgeries.
  • To determine if the proposed anesthesia scheme provides adequate anesthesiological defense.

Main Methods:

  • Analysis of operative treatment results in 458 children aged 3-15 years.
  • Application of a proposed anesthesia scheme involving propofol, ketamine, and fentanyl.
  • Intravenous total anesthesia administration during various interventions.

Main Results:

  • The proposed anesthesia scheme, combining propofol, ketamine, and fentanyl, was successfully applied.
  • This combination provided adequate anesthesiological defense during minor operative interventions.
  • The study included a cohort of 458 pediatric patients undergoing surgery.

Conclusions:

  • The combination of propofol, ketamine, and fentanyl is a viable anesthetic option for minor pediatric surgeries.
  • This anesthetic approach ensures patient safety and effective pain management in children.
  • The findings support the use of this specific anesthetic regimen for improved pediatric surgical care.

Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
2.2K
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
1.0K
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
2.0K
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
1.0K
General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
1.1K
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
2.8K