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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
ORIGINAL ARTICLES ANESTESIOLOGY
Minerva Anestesiologica 2000 November;66(11):807-10
Anestesia con Sevofluorano e intubazione orotracheale per interventi di oftalmochirurgia pediatrica di media durata in regime di day-hospital
Martini E., Bressan F., Benvenuti S., Rizzo L., La Torre M. S., Novelli G. P.
Università degli Studi - Firenze Istituto di Anestesia e Rianimazione (Direttore: Prof. G. P. Novelli)
Background. The aim of this study was to evaluate the discharge rate of children undergoing ophthalmic surgery of medium length (69-120’) in a day-hospital regime under general anesthesia with orotracheal intubation and using Sevoflurane as the only anesthetic agent.
Methods. Experimental protocol: prospective study. Setting: the study was carried out in the operating theatre of the Ophthalmic Clinic at Florence University. Patients: 58 pediatric patients aged 2-10 years, ASA I-II, 13-34 kg. Operations: correction of strabismus, cataract, glaucoma, palpebral ptosis and intubation of lacrimal tracts. Parameters measure: Any signs of reactivity in the airways to Sevoflurane on induction or reawakening (cough, bronchospasm, laryngospasm and psychomotor agitation), hemodynamic variables (heart rate and NIBP); reawakening time (from turning off the vaporiser to extubation), discharge time from recovery room (SatO2≥97% in ambient atmosphere), discharge time from hospital (stable vital signs, response to simple and complex commands).
Results. The mean reawakening time was 7 min, discharge time from the recovery room was 20 min, discharge time from the hospital 80% after four hours, 100% after six hours. No respiratory and/or cardiovascular complications were reported nor psychomotor agitation.
Conclusions. General anesthesia with Sevoflurane and Atracurium was found to be a realistic and reliable technique in pediatric ophthalmic surgery of medium length performed in day hospital.