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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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Otorinolaringologia 2005 December;55(4):247-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: Italian

Total intravenous anesthesia in otorhinolaryngeal pediatric surgery

D’Agostino A. 1, Gargano R. 2, Speciale R. 2, Restivo S. 2

1 Dipartimento di Anestesia, Rianimazione ed Emergenze, Università degli Studi di Palermo, Palermo 2 Sezione di Otorinolaringoiatria Dipartimento di Neurologia-Oftalmologia-Otorinolaringologia-Psichiatria Università degli Studi di Palermo, Palermo


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Aim. Personal experience in the use of a pharmacological association of remifentanil-propofol, in anesthesia for tonsillectomy and adenotonsillectomy is reported. In adults, both these drugs induce a total intravenous anesthesia (TIVA) and a hypotensive status.
Methods. The study was conducted on 100 pediatric patients, range 4-11 years, both sexes, weigth 15 to 40 kg.
Results. The results obtained show that this anaesthesiologic method is useful both for the patient’s safety and for the intraoperative bleeding control, since it reduces surgical times and lead to a good postoperative course.
Conclusion. The use of TIVA in pediatric patients allows a good general anaesthesia, with a rapid arousal and a good postoperative recovery.

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