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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2000 November;66(11):807-10

language: Italian

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.

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