- citations in SCIndeks: 0
- citations in CrossRef:0
- citations in Google Scholar:[
 ]
- visits in previous 30 days:18
- full-text downloads in 30 days:16
|
|
|
2013, vol. 35, iss. 7-8, pp. 361-367
|
|
General anesthesia and parameters of ventilation in pediatrics
Opšta anestezija i parametri ventilacije u pedijatriji
aUniversity of Belgrade, Faculty of Medicine, Institute of Mother and Child Health Care 'dr Vukan Čupić', Serbia bUniversity of Belgrade, Faculty of Medicine, Serbia + Clinical Center of Serbia, Center for Anesthesiology, Belgrade, Serbia cClinical Center of Serbia, Center for Anesthesiology, Belgrade, Serbia
email: ana_mandras@yahoo.com
Abstract
As in adutls, general anesthesia in pediatrics can be divided in inhalation (VIMA), intravenous (TIVA,TCI), balanced anesthesia, and combination of general anesthesia plus regional anesthesia. Specificity of general anesthesia in pediatric patients is due to developmental changes during childhood. Regarding the fact that in 90% cases cardiac arrest in children is due to respiratory pathology, it is unerstandable why respiratory physiology and pathology is of great importance for anesthesiologist.
Sažetak
Opšta anestezija koja se sprovodi u dečijem uzrastu, kao i kod odraslih, može biti inhalaciona anestezija (VIMA), intravenska anestezija ( TIVA i TCI), balansirana anestezija i kombinacija opšte i regionalne anestezije. Specifičnosti opšte anestezije u dečijem uzrastu su direktna posledica razvojnih specifičnosti organskih sistema. Imajući u vidu činjenicu da 90% srčanih zastoja kod dece nastaje kao posledica respiratorne insuficijencije, razumljivo je zašto je poznavanje respiratorne fiziologije i patologije od velikog značaja za anesteziologa.
|
|
|
|
References
|
|
 
|
Ashfaq, H. (2010) Ventilator Settings. in: Understanding Mechanical Ventilation, str. 115-140
|
|
 
|
Boyden, E.A., Tompsett, D.H. (1965) The changing patterns in the developing lungs of infants. Acta anatomica, 61(2): 164-92
|
|
|
Brimacombe, J., i dr. (2000) Pressure support ventilation vs continous posistve airway pressure wiuth LMA: A randomised crossover study of anesthetized adult patients. Anesthesilogy, 92: 1621-1623
|
|
|
Carlo, W.A., i dr. (2002) Minimal ventilatuon to prevent bronchoplmonalry dysplasia in extremely-low-birthwieght infants. J Pediatr, 14(3): 370-374
|
|
|
Cheema, I.U., Ahluwalia, J.S. (2001) Feasibility of Tidal Volume-Guided Ventilation in Newborn Infants: A Randomized, Crossover Trial Using the Volume Guarantee Modality. Pediatrics, 107(6): 1323-1328
|
|
|
Donn, S.M., i dr. (2002) Newer techniques of mechanical ventilation: an overview. Semin Neonatol, 83(1): F64-F70
|
|
|
Drašković, B. (2011) Izbor tubusa kod dece sa kafom ili bez kafa. in: Simić D. [ed.] Novine u dečijoj anesteziologiji, Obeležja, str. 99-105
|
|
|
Epstein, R.H., Stein, A.L., Marr, A.T., Lessin, J.B. (1998) High concentration versus incremental induction of anesthesia with sevoflurane in children: a comparison of induction times, vital signs, and complications. Journal of clinical anesthesia, 10(1): 41-5
|
|
|
Halfaer, M.A., i dr. (1996) Developmental physiology of the respiratory system. in: Rogers M.C., Nicolas D.G. [ed.] Textbook of Pediatric Intensive Care, Baltimore: Williams & Wilkins, 3rd ed
|
|
|
Harnett, M., Kinirons, B., Heffernan, A., Motherway, C., Casey, W. (2000) Airway complications in infants: comparison of laryngeal mask airway and the facemask-oral airway. Canadian journal of anaesthesia = Journal canadien d'anesthésie, 47(4): 315-8
|
|
|
Insoft, R.M., Todres, I. D. (2009) Growth and Development. in: A Practice of Anesthesia for Infants and Children, Saunders, Elsavier, str. 7-24
|
|
|
Kornecki, A., Kavanagh, B.P. (2009) Mechanical Ventilation. in: The Respiratory Tract in Pediatric Critical Illness and Injury, Springer-Verlag London Limited, str. 1-14
|
|
|
Mansell, A., i dr. (1972) Airway closure in children. J Appl Physiol, 62, str. 1117-1123
|
|
|
Morgan, G.E., i dr. (2006) Respiratory phisiology: The effects of anesthesia. in: Clinical Anesthesiology, McGraw-Hill, 4th edition, 22, str. 537-570
|
|
|
Park, C., Bahk, J.H., Ahn, W.S., Do, S.H., Lee, K.H. (2001) The laryngeal mask airway in infants and children. Canadian journal of anaesthesia = Journal canadien d'anesthésie, 48(4): 413-7
|
|
|
Polaner, D., i dr. (2006) Video assessment of supraglotic airway orientation through the parilaringeal airway in pediatric patients. Anesth. Analog, 102
|
|
|
Serafini, G., Cornara, G., Cavalloro, F., Mori, A., Dore, R., Marraro, G., Braschi, A. (1999) Pulmonary atelectasis during paediatric anaesthesia: CT scan evaluation and effect of positive endexpiratory pressure (PEEP). Paediatric anaesthesia, 9(3): 225-8
|
|
|
Simić, D. (2005) Osnovne anatomske i fiziološke specifičnosti dečijeg uzrasta. in: Simić D. [ed.] Osnovi dečije anesteziologije, Obeležja, 3-21
|
|
|
Steven, M.D., i dr. (2003) Invasive and noninvasive neonatal mechanical ventilation. Resp Care, 48: 426-439
|
|
|
Takeuchi, M., Imanaka, H., Miyano, H., Kumon, K., Nishimura, M. (2000) Effect of patient-triggered ventilation on respiratory workload in infants after cardiac surgery. Anesthesiology, 93(5): 1238-44; discussion 5A
|
|
|
Thome, U.H., Carlo, W.A. (2002) Permissive hypercapnia. Seminars in Neonatology, 7(5): 409-419
|
|
|
von Goedecke, A., Brimacombe, J., Harmann, C., Jeske, H.-C., Kleinsasser, A., Keller, C. (2005) Pressure Support Ventilation Versus Continuous Positive Airway Pressure Ventilation with the ProSeal: Laryngeal Mask Airway: A Randomized Crossover Study of Anesthetized Pediatric Patients. Anesthesia & Analgesia, 100(2): 357-360
|
|
|
Walpole, R., Olday, J., Haetzman, M., Drummond, G.B., Doyle, E. (2001) A comparison of the respiratory effects of high concentrations of halothane and sevoflurane. Pediatric Anesthesia, 11(2): 157-160
|
|
|
|
|