Peripheral regional block role in orthopedics in pediatric patients with cerebral palsy

Haemodynamics of 58 Pediatric patients with cerebral palsy was studied during combined anaesthesia based on sevoflurane and peripheral nerve block. Sevoflurane and peripheral nerve block with infusion support 14-15 ml/kg/ hr provide stable cardiac output during orthopedic surgeries in Pediatric pati...

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Bibliographic Details
Published inAnesteziologiia i reanimatologiia no. 1; p. 45
Main Authors Diordiev, A V, Aizenberg, V L
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.01.2013
Subjects
Adolescent
Age Factors
Anesthesia Recovery Period
Anesthesia, Conduction - methods
Anesthetics, Inhalation - administration & dosage
Cardiac Output - physiology
Cerebral Palsy - surgery
Child
Child, Preschool
Female
Hemodynamics
Humans
Hypotension - etiology
Male
Methyl Ethers - administration & dosage
Nerve Block - methods
Orthopedic Procedures - methods
Postoperative Period
Vascular Resistance - physiology
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Summary:Haemodynamics of 58 Pediatric patients with cerebral palsy was studied during combined anaesthesia based on sevoflurane and peripheral nerve block. Sevoflurane and peripheral nerve block with infusion support 14-15 ml/kg/ hr provide stable cardiac output during orthopedic surgeries in Pediatric patients with cerebral palsy. Excessive arterial hypotension and total peripheral vascular resistance decrease were registered in older patients as results of more pronounced vascular effect of anaesthetics in patients with decreased adaptive-compensatory possibilities and insufficient infusion support. The proposed anaesthesia method provides adequate intraoperative analgesia, fast recovery and comfortable postoperative period.
ISSN:0201-7563