[Experience in the use of propofol in surgical interventions in children].Anesteziol Reanimatol. 2000 Jan-FebAR
The adequacy of anesthesia with propofol is evaluated in 48 children aged 3 months to 7 years (ASA I-III) subjected to abdominal and urological interventions. The children were divided into groups administered different general anesthesias: 9 children aged 3-7 years operated under total intravenous anesthesia (TIVA) with propofol and fentanyl and 39 children aged 3 months to 6 years operated under TIVA with propofol, ketamine, and fentanyl. The efficiency of anesthesia was evaluated by electroencephalography and hemodynamic monitoring. TIVA with propofol, fentanyl, and ketamine did not notably decrease arterial pressure during induction; the course of anesthesia and recovery ran a smooth course; the doses of propofol and fentanyl were appreciably decreased. Use of this protocol in children aged under 3 years ensured adequate anesthesia with the minimum risk of hemodynamic disorders.