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العنوان
Sevoflurane versus Halothane in Pediatric Ocular Surgery
الناشر
Ahmed Hassanin Mohamad ,
المؤلف
Mohamad, Ahmed Hassanin
هيئة الاعداد
باحث / Ahmed Hassanin Mohamad
مشرف / Ibrahim Abbas Youssef
مشرف / Salah Nagib Ahmad EL-Tallawy
مشرف / Mamdouh Abdel-Moatey Maged
الموضوع
Anesthesia Pharmacology of Sevoflurane and Halothane in Children Paediatric Anesthesia Intraocular Pressure and Anesthesia
تاريخ النشر
2002 .
عدد الصفحات
114 p.
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2002
مكان الإجازة
جامعة المنيا - كلية الطب - Anaesthesiology
الفهرس
Only 14 pages are availabe for public view

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Abstract

Aim of the work
To compare the effect of sevoflurane and halothane in IOP in pediatric patients undergoing ocular surgery.
Results
1- Regarding induction characteristics, sevoflurane group showed more rapid induction than halothane. The difference was of statistically insignificant, there was low incidence of upper respiratory complications. Also, there is no statistically significant difference when comparing the intubation conditions in the two groups.
2- Oxygen saturation remained stable during the whole procedure and there was no statistically significant difference between the two groups.
3- Regarding IOP; sevoflurane and halothane showed decrease in IOP after inhalation. After intubation the IOP raised in both groups approaching the base line value. This rise was more in halothane group. The IOP then decreased in both groups below the base line, the decrease in IOP was more in sevoflurane group than halothane group.
4- After induction, the two groups showed statistically significant drop in MAP than base line value, the raised after endotracheal intubation, and then remained generally stable during maintenance. Heart rate showed significant rise during induction and post intubation period, then become stable. The rise in heart rate was lesser in halothane group than the sevoflurane group.
5- Patients of sevoflurane groups also reach score 10 on applying Aldrete score more rapid than halothane group. The incidence of respiratory complications during recovery was low and indifferent among the two groups of the study.
Conclusion
An inhalational induction in children should be pleasant, rapid without any airway complications, and free of appreciable effects on ventilation, circulation and neurological system. This study suggests that sevoflurane is nearer to provide these criteria than halothane and may therefore be the preferred inhalational agent for children. Also, the two inhaltional agents provide adequate IOP control in patients with normal IOP value. Sevoflurane prevents much rise in IOP after intubation than halothane; this may makes sevoflurane preferable in ophthalmic surgery.