Abstract. The given article describes the quality of anesthesia through the combined use of small doses of the opioid fentanyl during orthopedic operations in children. The study was conducted in 52 patients hospitalized for pectus excavatum, congenital or pathological hip dislocation. The patients were divided into 2 groups: 1 group, which received anesthesia using fentanyl, propofol and sevoflurane; Group 2 anesthesia method with fentanyl and propofol. We studied heart rate (HR), mean dynamic pressure (MDP), levels of cortisol, triiodothyronine (T3), thyroxine (T4).
References:
1. Diordiev A.V., Yakovleva E.S., Adkina E.A., Batysheva T.T., Klimov Yu.A., Lazarev V.V. Opioids are the best analgesics! Or not? Prospects for opioid-free analgesia in children. //Anesthesiology and Reanimatology, 2021, 3.
2. Ismailova M.U., Yusupov A.S. Anesthetic protection of children during surgical correction of pectus excavatum. // New Day in medicine. – Tashkent, 2022. – N. 9 (47).
3. Ovechkin A.M., Sokologorsky S.V., Politov M.E. Opioid-free analgesia - a fad or a call of the times? // News of surgery. – 2019. – T. 6 (27)
4. Sharipova V.Kh., Bokiev K.Sh., Berdiev N.F., Mikhliev A.N. ERAS protocol - time to reconsider! // Bulletin of emergency medicine. – 2021. – Vol. 14, N. 6.
5. Yusupov A.S., Ismailova M.U. Changes in central hemodynamic parameters during orthopedic operations in children // Pediatrics. – Tashkent, 2022. – N. 4 (Appendix No. 1).
6. Anderson T. A. Presentation at International Anesthesia Research Society // Anesthesiol Clin. ‒ 2017. ‒ Vol. 35, N. 2.
7. Anissa Belbachir, Regis Fuzeir, David Biau. Unexplained pain after scheduled limb surgery // Orthopedics and Traumotology: Surgery and Research Vol.106 (2020).
8. Cravero JP, Agarwal R, Berde C, Birmingham P, Cote CJ, Galinkin J, Isaac L, Kost-Byerty S, Krodel D, Maxwell L, Voepel – Lewis T, Sethna N, Wilder R. The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period // Paediatric Anaesthesia. – 2019. - Vol.29 (6).
9. Satvaldieva E.A., Yusupov A.S., Ismailova M.U. Optimization of combined general anesthesia for orthopedic Surgery in children // J Eurosia pediatry information. – Tashkent, 2022.
10. Upton HD, Ludbrook GL, Wing A, Sleigh JW, Intraoperative analgesia nociception index – guided fentanyl administration during sevoflurane anesthesia in lumbar discectomy and laminectomy: A randomized clinical trial // Anesthesia and Analgesia. – 2017. - Vol.125 (1)
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