Đánh giá tác dụng không mong muốn khi gây mê bằng sevofluran trong nội soi phế quản ở trẻ em

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Đức Lam Nguyễn, Thị Hiền Hòa Phạm

Ngôn ngữ: vie

Ký hiệu phân loại: 616.23 *Diseases of trachea and bronchi

Thông tin xuất bản: Y học Việt Nam, 2017

Mô tả vật lý: 106-109

Bộ sưu tập: Metadata

ID: 535055

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Đánh giá các tác dụng không mong muốn khi gây mê bằng thuốc sevofluran trên 64 bệnh nhi từ 0-90 tháng tuổi được nội soi hô hấp tại bệnh viện Nhi Trung ương. Bệnh nhân được vô cảm bằng sevofluran và gây tê tại chỗ bằng xịt lidocain. Kết quả cho thấy biến chứng khi nội soi hô hấp gặp phải là xanh tím, chảy máu, dọa ngừng tim. Tác dụng không mong muốn gồm có quấy khóc sau khi nội soi hô hấp, đau họng sau khi nội soi.Objective: To evaluate the side effects of anesthesia for children's bronchoscopy using sevoflurane. Patients and Methods: A retrospect descriptive study of 64 patients from 0 to 90 months of age who received bronchoscopy at the National Hospital of Paediatrics, sedated with sevoflurane and local anesthetic by lidocaine, when sedation is not sufficient, it is supplemented with propofol 0.5mg/kg. Results: Complications during bronchoscopy were cyanosis (14.06%), bleeding (3.13%), menace cardiac arrest (1.56%, successful treatment, no sequdae), side effects in patients are: crying after bronciioscopy (12.5%), sore throat after bronchoscopy (4.69%). The side effects on the medical staff in the endoscopy room were: sleepiness (7.81%), smell of Sevofluran in the environment (26.6%). Conclusion: Sevoflurane anesthesia in pediatric endoscopy is a relatively safe, minimally invasive and side effects of anesthetic method in patients, however, there is still a high level of sevoflurane in the environment should be well ventilated to avoid exposure medical staff.

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