Kovsh D N, Iavorovskiĭ A G, Kuznetsov R V, Prosvirin V K, Dolbneva E L, Trekova N A
Anesteziol Reanimatol. 2010 Mar-Apr(2):14-8.
The paper analyzes the efficiency of the authors' procedure for anesthetic maintenance based on a combination of inhalational (sevoflurane) and intravenous (1% propofol) anesthesia on spontaneous breathing through a ProSeal laryngeal mask airway in the X-ray endovascular correction of congenital heart diseases in infants and young children. The study included 118 children aged 2 to 7 years with secondary atrial septal defect, who had undergone endovascular defect correction, by applying an Amplazer septal occluder. The key points of the anesthetic maintenance proposed by the authors are: (1) substitution of routine pharmacological premedication for psychological (the presence of parents); (2) inhalational (sevoflurane) anesthesia in the induction of anesthesia; (3) replacement of an endotracheal tube by a ProSeal laryngeal mask; (4) refusal of myorelaxants and respiratory support without artificial ventilation. The authors' anesthesia protocol during these operations provides a safe perioperative period.
本文分析了作者基于吸入（七氟醚）和静脉（1%丙泊酚）麻醉相结合的麻醉维持方法在婴幼儿先天性心脏病X线血管内矫正术中通过ProSeal喉罩进行自主呼吸时的效率。该研究纳入了118名年龄在2至7岁、患有继发房间隔缺损且已通过应用Amplazer封堵器进行血管内缺损矫正的儿童。作者提出的麻醉维持要点如下：（1）用心理安抚（父母在场）替代常规药物术前用药；（2）麻醉诱导时采用吸入（七氟醚）麻醉；（3）用ProSeal喉罩替代气管内导管；（4）不使用肌松剂且无需人工通气的呼吸支持。作者在这些手术中的麻醉方案确保了围手术期的安全。
