THE USE OF PROPOFOL IN ONE-DAY SURGERY IN CHILDREN

Abstract

Propofol (diprivan) is the drug of choice in one-day surgery in children. The aim of the study: optimization of anesthetic benefits in one-day surgery by using propofol. Material and research methods: The study included 58 patients operated on for inguinal and umbilical hernias, dropsy of testicular membranes, cryptorchidism, varicocele, hemangiomas of various localization, phimosis and paraphimosis. The optimal, according to clinical data, induction dose of propofol in children older than 5 years was 3.5 ± 0.3 and 4.0 ± 0.4 mg / kg in children under 5 years of age. Results of the study: Propofol induction proceeded with a hypodynamic type of blood circulation. At the most traumatic time of the operation, despite an increase in the dose of fentanyl, hemodynamic parameters were hyperdynamic type of blood circulation, associated with insufficient relief of the pain component. And an increase in the dose of fentanyl led to the development of hypoventilation followed by apnea, which required mechanical ventilation. After mask ventilation, respiratory failure was easily corrected and SpO2 rose to 97-99%. The total time of induction into anesthesia with propofol and fentanyl was 30-60 seconds, and a complete exit from anesthesia in patients of group I was noted at the 20th minute. Thus, analyzing the results obtained, it should be noted that anesthesia during ″small ″surgical interventions with propofol and fentanyl is not an optimal method. Since at the most traumatic time of the operation, it is necessary to increase the dose of fentanyl, and this leads to hypoventilation with the subsequent development of apnea, which requires correction.