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Titolo:
Comparison of spontaneous with controlled mode of ventilation in tonsillectomy
Autore:
Khan, FA; Memon, GA;
Indirizzi:
Aga Khan Univ Hosp, Dept Anaesthesiol, Karachi 74800, Pakistan Aga Khan Univ Hosp Karachi Pakistan 74800 esiol, Karachi 74800, Pakistan
Titolo Testata:
PAEDIATRIC ANAESTHESIA
fascicolo: 2, volume: 11, anno: 2001,
pagine: 185 - 190
SICI:
1155-5645(200103)11:2<185:COSWCM>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANESTHESIA; ADENOIDECTOMY; CHILDREN; EMERGENCE; HALOTHANE; RECOVERY;
Keywords:
anaesthesia : ear, nose, throat; surgery : adenotonsillectomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Khan, FA Aga Khan Univ Hosp, Dept Anaesthesiol, Stadium Rd,POB 3500, Karachi 74800,Pakistan Aga Khan Univ Hosp Stadium Rd,POB 3500 Karachi Pakistan 74800 an
Citazione:
F.A. Khan e G.A. Memon, "Comparison of spontaneous with controlled mode of ventilation in tonsillectomy", PAEDIATR AN, 11(2), 2001, pp. 185-190

Abstract

Methods: This randomized study compares spontaneous versus controlled ventilation in 60 ASA I and II patients undergoing tonsillectomy as regards haemodynamic stability, recovery characteristics, intra- and immediate postoperative complications and surgical impressions. Results: The patients in the balanced anaesthesia (B) group showed less haemodynamic variability compared to baseline after tracheal intubation, mouth gag application and removal and incision. Two patients had dysrhythmias in the B group compared to six in the spontaneous breathing (S) group. Six patients in the S group had a rise in endtidal carbon dioxide concentration above 7.8 kPa (60 mmHg). Recovery scores were higher in the B group at 10 and 20 min into recovery. The surgical impression of bleeding and jaw relaxation was similar with both groups. The incidence of postoperative nausea and vomiting and agitation was higher in the S group but did not achieve statistical significance. Conclusions: Use of balanced anaesthesia offered more haemodynamic stability and a rapid recovery.

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Documento generato il 20/02/20 alle ore 00:13:23