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[Anesthesiological support during reconstructive surgery of the upper lip and palate in children]
Anesteziologiia I Reanimatologiia
|May 1, 1993
Insights
This study reviewed 2,000 pediatric reconstructive facial surgeries. A safe anesthetic approach using ketamine and controlled ventilation is recommended for better patient outcomes.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Critical Care Medicine
Context:
- Reconstructive facial surgery in children presents unique anesthetic challenges.
- Monitoring gas exchange, hemodynamics, and neurological status is crucial.
- Understanding complication patterns informs anesthetic strategy.
Purpose:
- To review anesthetic management in pediatric reconstructive facial surgery.
- To identify frequent and severe complications.
- To propose a safe anesthetic protocol.
Summary:
- Analysis of 2,000 pediatric cases (ages 1-15) undergoing reconstructive facial surgery.
- Assessment included gas exchange, heart rate, hemodynamics, and neurological status.
- A balanced anesthesia technique with ketamine and positive end-expiratory pressure (PEEP) controlled ventilation was identified as optimal.
Impact:
- Provides evidence for a safe and effective anesthetic technique in pediatric facial surgery.
- Aims to reduce intraoperative and postoperative complications.
- Contributes to improved patient safety and recovery in pediatric surgical patients.
Abstract:
Two thousand cases of anesthesiological support during reconstructive facial surgery in children aged from 1 to 15 have been reviewed. Gas exchange, heart rate, hemodynamics and neurological status have been assessed. The most frequent and severe complications have been outlined. A most safe variant of balanced anesthesia using ketamine combined with controlled lung ventilation with positive end expiratory pressure has been suggested for intraoperative and postoperative periods.