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2013, Number 4

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Rev Mex Anest 2013; 36 (4)

Comparing the safety and efficacy of two anesthetic techniques in the management of children who undergo contrast CT scan of the abdomen

Alarcón-Almanza JM, Estrada-Martínez O

Language: Spanish
References: 16
Page: 275-279
PDF size: 211.57 Kb.


ABSTRACT

Computerized axial tomography of abdomen requires the administration of contrast by mouth to hight volumes one hour before the study, leading to consider the patient pediatric with stomach full and at risk of breathing into the lungs when it undergoes sedation anesthesia. Material and methods: We Included patients scheduled to Computerized axial tomography of abdomen that covered the inclusion criteria in the time spanning study (one year). They were divided into two groups: group I received intravenous thiopental and group II sevoflurano inhalated. To decide the anesthetic technique patients were randomized. Results: We included 122 patients, 61 in each group. Hemodinamic stability was observed in both groups. Vomiting two patients presented in group I (3.27%) and group II a patient presenting vomiting (1.6%) without evidence of breathing into the lungs between groups. Efficiency in the group I was good in a 75.4% and regulate in a 24.6%. In the group II was good at 100%. Conclusions: In this investigation the group with Intravenous sedation with thiopental for management of computerized axial tomography of abdomen have double risk of vomiting with your respective risk of breathing into the lungs. The quality of the studies is best when inhalated.


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