ISSN:
1432-055X
Schlagwort(e):
Schlüsselwörter Kehlkopfmaske
;
Endotrachealtubus
;
Erbrechen
;
Halsschmerzen
;
Strabismusoperation
;
Key words Laryngeal mask
;
Endotracheal tube
;
Vomiting
;
Sore throat
;
Strabismus surgery
Quelle:
Springer Online Journal Archives 1860-2000
Thema:
Medizin
Beschreibung / Inhaltsverzeichnis:
Abstract 100 ASA I and II children, aged 4 to 14 years, and scheduled for strabismus surgery, were randomly assigned to one of the following groups: group 1 (n=50): endotracheal tube, group 2 (n=50): laryngeal mask airway. Apart from airway management, the anaesthesiological procedures were identical in both groups: induction with 2–3 mg/kg propofol, 0.02 mg/kg alfentanil, 0.05 mg/kg vecuronium, and 0.01 mg/kg atropine. After endotracheal intubation or insertion of the laryngeal mask, anaesthesia was continued with 6–15 mg/kg·h propofol and 10–30 μg/kg·h alfentanil. All patients were ventilated with N2O/O2 (2:1). No antiemetics were given, gastric contents were not aspirated. Postoperative nausea and vomiting (PONV) were recorded by 24 h, the incidence of sore throats was recorded 8, 12, and 24 h post-operatively. Results. The incidence of PONV was higher in group 1 (vomiting 48% vs 32%), nausea 28% vs 16% n.s.). Group 1 children had a higher incidence of sore throats (20% vs. 12%, n.s.), of a “lump in the throat” (10% vs 4%, n.s.), hoarseness (24% vs 0%, p〈0.001) and dysarthria (10% vs 4%, n.s.). Conclusions. In children undergoing strabismus surgery, the laryngeal mask airway was superior to the endotracheal tube in terms of PONV and was associated with fewer local complications such as sore throat.
Notizen:
Zusammenfassung 100 Kinder der ASA-Klassen I und II im Alter zwischen 4 und 14 Jahren, die sich einer Strabismusoperation unterziehen mußten, wurden randomisiert einer der folgenden Gruppen zugeteilt: Gruppe 1 (n=50): Orotracheale Intubation, Gruppe 2 (n=50): Kehlkopfmaske. In beiden Gruppen wurde eine Propofol/Alfentanil-Anästhesie unter Beatmung mit N 2 O/O 2 (2:1) durchgeführt, auf Antiemetika wurde verzichtet. Erbrechen in den ersten 24 h postoperativ trat in Gruppe 1 häufiger auf als in Gruppe 2 (48% vs. 32%, n.s.), ebenso Übelkeit (28% vs 16%, n.s.). Die Symptome Halsschmerzen (18% vs 10%, n.s.), Kratzen im Hals (20% vs 12%, n.s.), Kloßgefühl (10% vs 4%, n.s.), Heiserkeit (24% vs 0%, p〈0,001) und Sprechschwierigkeiten (10% vs. 4%, n.s.) fanden sich in der Gruppe 1 häufiger als in Gruppe 2.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1007/s001010050344
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