CONTROLLED HYPOTENSION IN ANESTHESIA FOR ENT SURGERY IN CHILDREN
- Authors: Aleksandrovich Y.1, Karplshchenko S.1,2, Kopylov V.1, Alekseenko S.3,4, Muratov A.4, Muratov P.4
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Affiliations:
- Saint Petersburg State Pediatric Medical University
- Acad. I.P. Pavlov First Saint Petersburg State Medical University
- I.I. Mechnikov North-Western State Medical University
- K.A. Raukhfus City Children’s Hospital Nineteen
- Issue: Vol 28, No 2 (2017)
- Pages: 5-9
- Section: Articles
- URL: https://journals.eco-vector.com/0236-3054/article/view/116739
- ID: 116739
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Access granted
Abstract
Childhood ENT diseases occupy one of the leading places in the structure of morbidity. A number of ENT diseases require surgical treatment. One of the primary tasks of a pediatric ENT surgery operator is to provide reliable hemostasis and to reduce surgical field hemorrhage. Capillary bleeding is of importance during surgery using endoscopic or microscopic equipment. Reduced bleeding of small vessels can be achieved with infiltration anesthesia added by vasoconstrictors and with controlled hypotension.
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About the authors
Yu. Aleksandrovich
Saint Petersburg State Pediatric Medical University
Email: svolga-lor@mail.ru
Professor MD Saint Petersburg
S. Karplshchenko
Saint Petersburg State Pediatric Medical University; Acad. I.P. Pavlov First Saint Petersburg State Medical University
Email: svolga-lor@mail.ru
Professor MD Saint Petersburg
V. Kopylov
Saint Petersburg State Pediatric Medical University
Email: svolga-lor@mail.ru
Professor MD Saint Petersburg
S. Alekseenko
I.I. Mechnikov North-Western State Medical University; K.A. Raukhfus City Children’s Hospital Nineteen
Email: svolga-lor@mail.ru
Candidate of Medical Sciences Saint Petersburg
A. Muratov
K.A. Raukhfus City Children’s Hospital Nineteen
Email: svolga-lor@mail.ru
Saint Petersburg
P. Muratov
K.A. Raukhfus City Children’s Hospital Nineteen
Email: svolga-lor@mail.ru
Saint Petersburg
References
- Федеральная служба государственной статистики // Здравоохранение в России. - 2015; 63-5.
- Kaygusuz K., Yildrim A., Kol I. et al. Hypotensive anaesthesia with remifentanil combined with desflurane or isoflurane in tympanoplasty or endoscopic sinus surgery: a randomised, controlled trial // J. Laryngol. Otol. - 2008; 122 (7): 691-5.
- Карпищенко С.А., Алексеенко С.И. Эндоскопическая сфенотомия в детском возрасте // Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. - 2016; 22 (4): 79-88.
- Cushing H: Tumors of the Nervus Acousticus and the Syndrome of the Cerebellopontine / Angle, Philadelphia: WB Saunders, 1917; 319.
- Griffiths H., Gillies J. Thoracolumbar Splanchnicectomy and Sympathectomy: Anesthetic Procedure // Anesthesia. - 1948; 3: 134.
- Enderby G. Controlled Circulation with Hypotenasive Drugs and Posture to Reduce Bleedingin Surgery: Preliminary Results with Pentamethonium Iodide // Lancet. - 1950; I: 1145.
- Dal D., Eliker V., Ozer E. et al. Induced hypotension for tympanoplasty: a comparison of desflurane, isoflurane and sevoflurane // Eur. J. Anaesthesiol. -2004; 21 (11): 902-6.
- Rhondali O., Mahr A., Simonin-Lansiaux S. et al. Impact of sevoflurane anesthesia on cerebral blood flow in children younger than 2 years // Paediatr. Anaesth. - 2013; 23 (10): 946-51.
- Toi T. Comparisons of vasodilators and anesthetics in their effects on the circulatory and metabolic conditions during hypotensive anesthesia // Masui. -2000; 49 (8): 857-66.
- Jung K., Kim S., Lee H. et al. Effect on thermoregulatory responses in patients undergoing a tympanoplasty in accordance to the anesthetic techniques during PEEP: a comparison between inhalation anesthesia with desflurane and TIVA // Korean J. Anesthesiol. - 2014; 67 (1): 32-7.
- Dogan M., Duger C., Uysal I. et al. Middle ear pressure changes with sevoflurane and propofol-remifentanil // B-ENT. - 2015; 11 (3): 219-22.
- Drover D., Hammer G., Cahane C. et al. Evaluation of sodium nitroprusside for controlled hypotension in children during surgery // Front Pharmacol. - 2015; 6: 136.
- Barret J., Sarapee Hirankan, Holford N. et al. A hemodynamic model to guide blood pressure control during deliberate hypotension with sodium nitroprusside in children // Front Pharmacol. - 2015; 6: 151.
- Bayram A., Ulgey A., Gunes I. et al. Comparison between magnesium sulfate and dexmedetomidine in controlled hypotension during functional endoscopic sinus surgery // Rev. Bras. Anestesiol. - 2015; 65 (1): 61-7.
- Yoshikawa F., Kohase H., Umino M. et al. Blood loss and endocrine responses in hypotensive anaesthesia with sodium nitroprusside and nitroglycerin for mandibular osteotomy // Int. J. Oral Maxillofac. Surg. - 2009; 38 (11): 1159-64.
- Srivastava U., Dupargude A., Kumar D. et al. Controlled Hypotension for Functional Endoscopic Sinus Surgery: Comparison of Esmolol and Nitroglycerine // Indian J. Otolaryngol. Head Neck Surg. - 2013; 65 (Suppl. 2): 440-4.
- Bajwa S., Kaur J., Kulshrestha A. et al. Nitroglycerine, esmolol and dexmedetomidine for induced hypotension during functional endoscopic sinus surgery: A comparative evaluation // J. Anaesthesiol. Clin. Pharmacol. - 2016; 32 (2): 192-7.
- Freeman A., Thorne C., Gaston C. et al. Hypotensive Epidural Anesthesia Reduces Blood Loss in Pelvic and Sacral Bone Tumor Resections // Clin. Orthop. Relat. Res. - 2016 May 12.
- Stocche R., Garcia L., Reis M. et al. Intravenous clonidine in the induced arterial hypotension technique for tympanoplasty // Rev. Bras. Anestesiol. - 2003; 53 (4): 457-66.
- Cardesin A., Pontes C., Rosell R. et al. Hypotensive anaesthesia and bleeding during endoscopic sinus surgery: an observational study // Eur. Arch. Otorhinolaryngol. - 2014; 271 (6): 1505-11.
- Wawrzyniak K., Kusza K., Cywinski J. et al. Premedication with clonidine before TIVA optimizes surgical field visualization and shortens duration of endoscopic sinus surgery - results of a clinical trial // Rhinology. - 2013; 51 (3): 259-64.
- Das A., Mukherje A., Chhaule S. et al. Induced hypotension in ambulatory functional endoscopic sinus surgery: A comparison between dexmedetomidine and clonidine as premedication. A prospective, double-blind, and randomized study // Saudi J. Anaesth. - 2016; 10 (1): 74-80.
- Das A., Chhauke S., Bhattacharya S. et al. Controlled hypotension in day care functional endoscopic sinus surgery: A comparison between esmolol and dexmedetomidine: A prospective, double-blind, and randomized study // Saudi J. Anaesth. - 2016; 10 (3): 276-82.
- Ayoglu H., Yapakci O., Ugur M. et al. Effectiveness of dexmedetomidine in reducing bleeding during septoplasty and tympanoplasty operations // J. Clin. Anesth. - 2008; 20 (6): 437-41.
- Liu T., Qin M., Li W. et al. Effects of a Single Dose Dexmedetomidine on Surgical Field Visibility During Middle Ear Microsurgery: A Randomized Study // Otol. Neurol. - 2016; 37 (6): 680-4.
- Karabayirli S., Ugur K., Demircioglu R. et al. Surgical conditions during FESS; comparison of dexmedetomidine and remifentanil // Eur. Arch. Otorhinolaryngol. - 2016; doi: 10.1007/s11325-016-1390-4.
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