Propofol as a sole agent for paediatric day care diagnostic ophthalmic procedures: comparison with halothane anaesthesia

Madan, Rashmi; Kapoor, Indu; Balachander, Shiva; Kathirvel, S.; Kaul, H. L.

doi:10.1046/j.1460-9592.2001.00741.x

Cited by 12 publications

(3 citation statements)

References 28 publications

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“…Several authors have reported emergence agitation and/or delirium in children recovering from surgery and nonsurgical procedures when sevoflurane was used for anaesthesia (21–25). Similar findings were reported in infants in studies comparing halothane and propofol (7–9). Minimizing this agitation by using propofol anaesthesia would be advantageous in this patient population.…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Clinical and biochemical effects of propofol EDTA vs sevoflurane in healthy infants and young children¹

Cohen

Finkel

Hannallah

et al. 2004

Pediatric Anesthesia

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Section: Discussionsupporting

confidence: 86%

“…Studies of propofol as the maintenance agent in infants, an age group with variable pharmacokinetics, have been limited (8–13). A comparison between propofol and sevoflurane to evaluate efficacy, safety and recovery is warranted.…”

Section: Introductionmentioning

confidence: 99%

Clinical and biochemical effects of propofol EDTA vs sevoflurane in healthy infants and young children¹

Cohen

Finkel

Hannallah

et al. 2004

Pediatric Anesthesia

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show abstract

“…Augenuntersuchungen müssen bei kleinen Kindern häufig wegen fehlender Compliance in Allgemeinanästhesie durchgeführt werden. Hierbei erwies sich in einer Tagesklinik in einer randomisierten Studie eine TIVA mit Propofol supplementiert mit Sauerstoff über eine Nasensonde bei spontan atmenden Kindern unter 5 Jahren für nicht-invasive diagnostische ophthalmologische Prozeduren als durchaus mögliche Alternative zu einer Maskennarkose mit dem Inhalationsanästhetikum Halothan, wobei ein besserer Zugang zum Auge gewährt wurde [78].…”

Section: Anästhesie Bei Kindern Und Neugeborenenunclassified

Was gibt es Neues in der Ophthalmoanästhesie?

Weigt

Spraul²,

Weiß³

2003

Klin Monatsbl Augenheilkd

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In the past few years, there have been many changes in ophthalmic anaesthesia. Application of drugs in general anaesthesia with excellent controllability enhances patient safety and allows a more efficient OR-management. Regional anaesthesia is gaining widespread use for ophthalmic surgery, especially topical anaesthesia for cataract surgery. Patients for ophthalmic surgery concomitantly often display high age and a high level of co-morbidity and, therefore, belong to the anaesthesiological risk groups ASA III-IV. Life-threatening adverse events including cardiovascular depression are associated with general and regional anaesthesia. Intervention by anaesthesiologists is frequently required for treatment of hypertension or dysrhythmias, and sedation. Thus, monitored anaesthesia care ("standby") is justified. Drugs applied for regional and general anaesthesia may change intraocular pressure. There are a lot of publications about the impact of anaesthesia on intraocular pressure (IOD), however, few on the effects of anaesthesia on pulsatile ocular blood flow. it has to be kept in mind that the effects of anaesthesia on intra-ocular pressure and pulsatile ocular blood flow may diverge. To avoid an increase of the IOD, especially during anaesthesia induction, drugs, such as succinylcholin, rocuronium and opiates, in particular remifentanil, can be applied. In addition, the use of the laryngeal mask may be advantageous compared to general anaesthesia associated with laryngoscopic tracheal intubation. The management of patients treated with anticoagulants and antiplatelet agents, has to be taken on the balance of risks. There are risks not only in continuing therapy, but also in discontinuing it perioperatively. Postoperative nausea and vomiting (PONV) remains a distressing and common problem after strabismus repair in particular in children. The incidence of PONV depends on the type of ophthalmic surgery and drugs applied. To reduce PONV in ophthalmic surgery, application of long-lasting opiates should be avoided, and non-opiate analgesics and, depending on the kind of operation, antiemetic prophylactics are recommended.

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Intravenous versus inhalational anaesthesia for paediatric outpatient surgery

Ortiz

Atallah

Matos

et al. 2014

Cochrane Database of Systematic Reviews

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Propofol as a sole agent for paediatric day care diagnostic ophthalmic procedures: comparison with halothane anaesthesia

Abstract: Propofol is a feasible option for paediatric diagnostic ophthalmic procedures with the advantage over halothane of providing complete access to the eye.

Cited by 12 publications

References 28 publications

Clinical and biochemical effects of propofol EDTA vs sevoflurane in healthy infants and young children¹

Clinical and biochemical effects of propofol EDTA vs sevoflurane in healthy infants and young children¹

Was gibt es Neues in der Ophthalmoanästhesie?

Intravenous versus inhalational anaesthesia for paediatric outpatient surgery

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Propofol as a sole agent for paediatric day care diagnostic ophthalmic procedures: comparison with halothane anaesthesia

Abstract: Propofol is a feasible option for paediatric diagnostic ophthalmic procedures with the advantage over halothane of providing complete access to the eye.

Cited by 12 publications

References 28 publications

Clinical and biochemical effects of propofol EDTA vs sevoflurane in healthy infants and young children1

Clinical and biochemical effects of propofol EDTA vs sevoflurane in healthy infants and young children1

Was gibt es Neues in der Ophthalmoanästhesie?

Intravenous versus inhalational anaesthesia for paediatric outpatient surgery

Contact Info

Product

Resources

About

Clinical and biochemical effects of propofol EDTA vs sevoflurane in healthy infants and young children¹

Clinical and biochemical effects of propofol EDTA vs sevoflurane in healthy infants and young children¹