[General anesthesia in minor surgical interventions in children]

Area of Science:

• Pediatric Anesthesiology
• Neurophysiology
• Pain Management

Background:

• Minor surgical interventions in children often require general anesthesia.
• Assessing the impact of anesthetic agents and adjuncts on physiological responses is crucial.
• Fluothane, combined with various neurostimulation techniques, is commonly used for pediatric analgesia.

Purpose of the Study:

• To evaluate central hemodynamics and sympathoadrenal system activity.
• To perform mathematical analysis of heart rhythm.
• To compare the effects of fluothane-oxide-oxygen narcosis with combined transcutaneous electroneurostimulation (TENS), transcranial electroneurostimulation (TCES), and calypsol in pediatric patients.

Main Methods:

• Studied 74 pediatric patients aged 8 to 14 years.
• Utilized fluothane-oxide-oxygen narcosis.
• Administered combined TENS, TCES, and calypsol as adjuncts.
• Monitored central hemodynamics and sympathoadrenal system reactions.
• Performed mathematical analysis of heart rhythm.

Main Results:

• Fluothane combined with TENS or TCES demonstrated significant efficacy.
• Observed specific hemodynamic and sympathoadrenal responses to the anesthetic and neurostimulation techniques.
• Mathematical analysis of heart rhythm provided insights into autonomic nervous system modulation.

Conclusions:

• Fluothane combined with TENS or TCES represents a prevalent and effective method for general analgesia in children undergoing minor procedures.
• The combination strategies offer a viable approach to managing pain and physiological responses in pediatric anesthesia.
• Further research can explore optimal parameters for neurostimulation in pediatric pain management.