مقارنة البروبوفول مع التيوبنتال/هالوتان لتخدير العمليات قصيرة الأمد عند الأطفال
Abstract
أجريت الدراسة في قسم التخدير والإنعاش في مشفى الأسد الجامعي في عام 2009, وشملت 100 طفل تراوحت أعمارهم بين 3-13 عاماً أجريت لهم عمليات جراحية قصيرة مثل: استئصال لوزات وناميات (38%)، عمليات على العضلات العينية (2%)، عمليات بولية تناسلية (60%).
قسم المرضى إلى مجموعتين :
الأولى : خضع المرضى فيها للبروبوفول, حيث تم استخدامه في المباشرة الوريدية وفي الاستمرارية تسريباً وريدياً مستمراً.
الثانية : استخدم فيها التيوبنتال للمباشرة وكانت الاستمرارية باستخدام الهالوتان .
هدفت الدراسة إلى دراسة خصائص المباشرة التخديرية و فترة الصحو من حيث نوعية المباشرة والاختلاطات وسرعة الإنباب والصحو والتخريج من قسم العمليات .
أما نتيجة الدراسة فكانت: أن نسبة حدوث توقف التنفس، الفواق، تشنج الحنجرة، الغثيان والإقياء عند أطفال المجموعة الأولى أقل مما هي عليه عند أطفال المجموعة الثانية, وذلك في كل من مرحلتي المباشرة والصحو، كما أن الإنباب والتخريج من قسم العمليات تم خلال فترة زمنية أقصر في المجموعة الأولى.
والخلاصة: أن استخدام البروبوفول لمباشرة واستمرارية التخدير هي تقنية تخديرية جيدة التحمل عند الأطفال ونسبة اختلاطات قليلة في مرحلتي المباشرة والصحو وتؤمن انباباً سريعاً وتخريجاً سريعاً من قسم العمليات, خاصة في العمليات الجراحية القصيرة.
This study was carried out in the Department of Anesthesia and Resuscitation at AL-Assad Univresity Hospital, Lattakia, Syria, in 2009 and included 100 children aged between 3 and 13 years. The most common surgical procedures performed were adeno-tenseloctomy (38%), eye muscle surgery (2%), and genitourinary surgery (60%). Patients were divided into two groups. Propofol was used in the first group for induction and maintenance by infusion, while Thiopental was used in the second for induction and Halothane for maintenance. The aim of this study was to evaluate the quality of induction and recovery periods, the complications during induction and recovery, and the speed of extubation and discharging from the operation section. The result was that the percentage of breathlessness, hiccup, laryngeal spasm, and nausea and vomiting in children of first group was less than it was in the second during the two phases of induction and recovery. Also, the extubation and discharging from the operation section took place in a shorter time than the first group. The conclusion was that the use of propofol for induction and maintanence of anesthesia was a well-tolerated anesthesic technique in children; it had less complications in induction and recovery, providing quick extubation and quick discharging from the operation section, especially in short term surgeries.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series
Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in Tishreen University Journal for Research and Scientific Studies - Health Sciences Series . The Readers have the right to send, print and subscribe to the initial version of the article, and the title of Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Publisher
journal uses a CC BY-NC-SA license which mean
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.