Reyes-García C, Terrazas-Luna V, Hernández-Sosa V, Guzmán-Vásquez P, Montes-Cruz E

Language: Spanish
References: 10
Page: 210-214
PDF size: 420.97 Kb.

ABSTRACT

Introduction: in Pediatrics, the anesthesia induction technique requires careful consideration, whether by inhalation or intravenous. Objective: to evaluate intubation conditions with the use of propofol and sevoflurane in children under two years of age, with the Helbo-Hansen scale modified by Steyn. (score 5 to 10) is considered good to excellent. Material and methods: experimental, randomized, in group P: propofol at 3.5 mg/kg, group S, induction with sevoflurane at 4 vol%, fresh gas flow at 4 L, when apnea was present we performed intubation. We measured Vital Signs (HR, mean arterial pressure, SO₂) at baseline, post-induction, post laryngoscopy, post-intubation and at five minutes. Results: 58 children, average 7 kg, apnea time, average with propofol 33 seconds, sevoflurane 178 seconds (p = 0.000), with the type of induction: propofol was in 48% (28) children, of which 93% (26) presented optimal intubation conditions, 7% (2) poor conditions and with sevoflurane it was 52% (30) showing optimal conditions 80% (24), poor conditions 20% (6). Conclusions: dose of propofol at 3.5 mg/kg it is safe and provides optimal intubation conditions, in minimal time and without hemodynamics changes.

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