Anesthesia and maintenance of homeostasis in the surgical treatment of children with systemic diseases of the skeleton

Abstract

Anesthesiological and resuscitation support during surgical interventions in children with systemic skeletal diseases (SDS) presents certain difficulties. This is due to the functional changes in such patients and the insufficiency of various organs and systems, as well as the disproportionate development of the facial part of the skeleton and deformation of the chest, which makes it difficult to intubate the trachea, impaired airway patency with possible subsequent development of respiratory insufficiency. Often used during operations on the extremities, the application of a tourniquet leads to the development of severe tachycardia, hypertension, aggravation of metabolic acidosis and intoxication, which are extremely difficult to stop, especially in this group of children with pneumosclerosis and cardiopathy.