[Anesthesiologic and surgical problems in adenotonsillectomy in pediatric patients. Our current trend].

Abstract:

AIM:To verify, in dissection adenotonsillectomy (AT) performed in Rose position under general anaesthesia with oro-tracheal intubation, the following: 1) the ability of tramadol to produce an effective intra- and postoperative analgesia without any considerable side effects or interferences with the normal post-surgical course of the operation; 2) the possibility of obtaining, thanks to mivacurium, a myoresolution closer both to surgical times of the operation and to the necessity of a fast recovering of the pharyngo-laryngeal reflexes. EXPERIMENTAL DESIGN:A perspective and retrospective clinical study. SETTING:University clinic department (operating room and facility). PATIENTS:110 patients submitted to adenotonsillectomy, aged 4-10, belonging to the I-II ASA categories and not taking any drug for at least 30 days. INTERVENTIONS:Intravenous pre-medication with tramadol 2 mg/kg; myoresolution with mivacurium 0.2 mg/kg; postoperative analgesia with tramadol 2 mg/kg i.m. one hour after the first administration and, with an equivalent oral dose of tramadol, six hours later. MEASUREMENTS:During surgery: ECG, HR, Sat HbO2, non-invasive arterial blood pressure; after surgery: clinical evaluation of pain, through a three-point scale, and of the surgical course. RESULTS:Good analgesical level both during and after surgery; myoresolution especially suitable to adenotonsillectomy duration and characteristics; no considerable complications. CONCLUSIONS:Tramadol intra- and postoperative analgesia and mivacurium myoresolution represents, in personal opinion, an efficient approach to dissection adenotonsillectomy performed in children under general anaesthesia.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Macarone Palmieri A,Meglio M,Testa D,Salafia M,Iasiello A

keywords:

subject

Has Abstract

pub_date

1998-12-01 00:00:00

pages

545-52

issue

12

eissn

0375-9393

issn

1827-1596

journal_volume

64

pub_type

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