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Órgano Oficial del Instituto Nacional de Pediatría
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2005, Number 6

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Acta Pediatr Mex 2005; 26 (6)

Sevovluorane as a cause of seizures. Report of a case

Pérez HA, Mancera EG
Full text How to cite this article

Language: Spanish
References: 10
Page: 299-301
PDF size: 34.38 Kb.


Key words:

Sevofluorane, anesthetic induction, seizures, inhalant anesthethics, midazolam.

ABSTRACT

Inhalatory induction of anesthesia by face mask is a common practice in children and very useful in outpatient surgery. With this method, children breath inhalant anesthetics through a face mask until loss of consciousness is accomplished, whence a venous line is placed whithout causing anxiety or pain to the patient. Sevofluorane is the volatile agent of choice in anesthesia for children due to its properties which include fast tissue uptake, fast elimination, lack of respiratory irritation, fast adjusment of anesthethic depth and cardiovascular stability. We present the case of a 13 year-old boy who underwent an endoscopic gastrointestinal procedure under general anesthesia with face mask induction; during the procedure the patient developed seizures caused by inhalation of sevofluorane, which could not be controlled with the intravenous administration of 3 mg of midazolam. Heart rate, blood pressure, and oxygen saturation remained stable during the seizures; no neurological abnormalities were observed and the patient remained stable thereafter. He was discharged in good condition.


REFERENCES

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Acta Pediatr Mex. 2005;26