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[Use of head tent for anesthesia of children (author's transl)]
Insights
Pediatric inhalation anesthesia using a head-tent offers a child-friendly alternative to face-masks. This method, utilizing nitrous oxide and oxygen mixtures, proved safe and well-tolerated in 61 children.
Area of Science:
- Pediatric Anesthesiology
- Respiratory Care
Context:
- Traditional face-masks for pediatric inhalation anesthesia can induce fear and anxiety in children.
- Head-tents are commonly used for oxygen administration in intensive care settings.
- Evaluating alternative methods for inhalation anesthesia delivery in pediatric patients is crucial.
Purpose:
- To assess the efficacy and acceptance of a head-tent system for pediatric inhalation anesthesia.
- To compare different nitrous oxide and oxygen mixture protocols for pediatric anesthesia.
- To measure carbon dioxide rebreathing levels within the head-tent apparatus.
Summary:
- The study involved 61 children aged 5 months to 15 years undergoing inhalation anesthesia via a head-tent.
- Three anesthetic protocols were tested, combining nitrous oxide and oxygen at varying concentrations, with or without halothane.
- Carbon dioxide rebreathing was monitored relative to gas flow, and no adverse events were reported.
Impact:
- The head-tent anesthesia system is presented as an easy-to-use and well-accepted method for pediatric patients.
- This approach may reduce patient anxiety associated with anesthesia administration.
- Findings suggest a viable alternative for inhalation anesthesia in young children.
Abstract:
The authors relate their experience of 61 inhalation anesthesia of children from 5 months to 15 years years old. Head-tent is usually employed for intensive care as a method to administrate pure oxygen. Children are often afraid of the face-mask and tolerate head-tent easier. Three different protocols were studied: Nitrous oxide and oxygen mixture at different level (50 p. cent oxygen, 50 p. cent nitrous-oxide; or 30 p. cent oxygen, 70 p. cent nitrous oxide). The authors also used halothan in the inhalated mixture. The rebreathing level of CO2 in the head-tent according to the gas flow was measured. No incident, nor accident are related. This new anesthetic apparatus is easy to use, well accepted by children.