10 -6 (38) 2021 — Yusupov A.S., Satvaldieva E.A., — CHANGES IN HEMODYNAMICS UNDER CONDITIONS OF COMBINED INHALATION ANESTHESIA WITH SEVOFLURANE DURING OTORHINOLARYNGOLOGICAL SURGERY IN CHILDREN

CHANGES IN HEMODYNAMICS UNDER CONDITIONS OF COMBINED INHALATION ANESTHESIA WITH SEVOFLURANE DURING OTORHINOLARYNGOLOGICAL SURGERY IN CHILDREN

Yusupov A.S., Tashkent Pediatric Medical Institute

Satvaldieva E.A., Tashkent Pediatric Medical Institute

Fayziev O.Ya., Tashkent Pediatric Medical Institute

Sobirov I.A., Tashkent Pediatric Medical Institute

Poyonov M.M., Tashkent Pediatric Medical Institute

Umarova M.A. Tashkent Pediatric Medical Institute

Resume

The article is devoted to the use of sevoflurane with microdoses of fentanyl in ENT operations in children. The aim of the study was to improve the quality of pain relief using inhalation anesthesia with sevoflurane and fentanyl in ENT operations in children.

Material and research methods. The studies were carried out in 56 children aged 4 to 14 years. The patients were divided into 2 groups. Patients of the first group used two methods of combined anesthesia to provide anesthetic protection: patients of the first group used the method of anesthesia based on inhalation anesthesia with sevoflurane and low doses of fentanyl. For the patients of the second group, propofol and ketamine were used for anesthetic management.

Key words: anesthesia, combined anesthesia in children, otorhinolaryngological operations, hemodynamics, inhalation anesthetics

First page

56

Last page

60

For citation: Yusupov A.S., Satvaldieva E.A., Fayziev O.Ya., Sobirov I.A., Poyonov M.M., Umarova M.A. CHANGES IN HEMODYNAMICS UNDER CONDITIONS OF COMBINED INHALATION ANESTHESIA WITH SEVOFLURANE DURING OTORHINOLARYNGOLOGICAL SURGERY IN CHILDREN //New Day in Medicine 6(38)2021 56-60 https://cutt.ly/9TNiAf3

LIST OF REFERENCES:

1. Agzamkhodzhayev T.S. i dr. Pokazateli gemodinamiki pri anesteziologicheskom obespechenii oftal’mologicheskikh operatsiy u detey //Meditsina: teoriya i praktika. – 2019. – T. 4. – №. 4. – S. 3-9.
2. Agzamkhodzhayev T. S. i dr. Izmeneniye pokazateley gemodinamiki i kislorodnogo statusa pri mul’timodal’noy anestezii u detey s otolaringologicheskoy patologiyey //Universum: meditsina i farmakologiya. – 2014. – №. 1 (2).
3. Barash P.D. Klinicheskaya anesteziologiya: per. s angl. / P.D.Barash, B.F. Kullen, R.K. Stelting; pod red. V.YA. Rodionova. Izd. 3-ye,- M.: Med. Lit.2006. – 592s.
4. Gel’fand B.R. Anesteziologiya i intensivnaya terapiya: spravochnik prakticheskogo vracha / Pod red. B.R. Gel’fanda.-M.: Litterra, 2005.- 544s.
5. Gritsan A. I., Krotov M. V., Bichurin R. A. Parametry vneshnego dykhaniya pri provedenii endoskopicheskikh operatsiy v usloviyakh nizkopotochnoy ingalyatsionnoy anestezii s sokhraneniyem spontannoy ventilyatsii cherez nadgortannyy vozdukhovod” i-gel” //Vestnik intensivnoy terapii imeni AI Saltanova. – 2016. – №. 3.
6. Miyerbekov Ye. M. i dr. Sravnitel’naya otsenka gemodinamicheskogo i kardioprotektivnogo effektov izoflyurana i sevoflyurana pri aorto! koronarnom shuntirovanii v usloviyakh iskusstvennogo krovoobrashcheniya //Vestnik khirurgii Kazakhstana. – 2009. – №. 1 (17).
7. Kamalov Ye.KH. Sostoyaniye krovoobrashcheniya i kislotno-osnovnogo ravnovesiya pri ispol’zovanii propofola / Ye.KH.Kamalov // Vestnik intensivnoy terapii.-2004.- №5.- S 38 41.
8. Kolomenskiy Ye.Ye., Zinger V.G., Sambulov V.I. Obezbolivaniye v pediatricheskoy otokhirurgii// Mat. 8-Vserossiyskogo s”yezda anest-rean. M., 2006.http://anesth.medi.ru/omsk/omsk07.htm 
9. Ovchar T. A., Lazarev V. V. Anesteziologicheskoye obespecheniye pri funktsional’noy endoskopicheskoy endonazal’noy rinosinusokhirurgii u detey //Anesteziologiya i reanimatologiya. – 2020. – №. 1. – S. 55-62.
10. The effect of surgical levels of sevoflurane and propofol anaesthesia on heart rate variability // M. Maepenpaa, J. Penttila, T. Latino, K. Kaisti, T. Kuusela et all // Europian journal of anesthesia.- 2007.- Vol 24, № 7.- P. 626 633.