[Inhalation induction with sevoflurane in paediatrics: what is new?]. / Induction au masque facial avec le sévoflurane chez l'enfant: le point sur les nouvelles modalités.
Ann Fr Anesth Reanim
; 25(4): 413-6, 2006 Apr.
Article
en Fr
| MEDLINE
| ID: mdl-16455225
The delay for loss of consciousness can be shortened by using high concentration sevoflurane > 6% and by adding N2O during inhalation induction with sevoflurane in paediatrics. Mean time for tracheal tube insertion is lower than 5 min in the majority of studies. This shorter delay is not associated with any significant increase in clinical side effects. However, recent studies have demonstrated the epileptogenic effect of high effect site sevoflurane concentration (occurrence of spike wave on the EEG). Inhalation induction with high alveolar sevoflurane concentration is questionable mainly when it is associated with hyperventilation. Positive pressure ventilation or pressure support ventilation make it possible to maintain normocapnia and to monitor FeSevo. Adding a narcotic decreases the target cerebral concentration required to perform tracheal intubation and consequently the risk of spike wave occurrence.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Anestésicos por Inhalación
/
Anestesia por Inhalación
/
Éteres Metílicos
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Child
/
Child, preschool
/
Humans
/
Infant
Idioma:
Fr
Revista:
Ann Fr Anesth Reanim
Año:
2006
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Francia