Abstract
Prospects for Anesthesia in Day Surgery in Children
Highlights
One of the urgent problems of modern pediatric surgery is the organization of high quality care for children in the hospital one day, as most of the planned operations with proper patient selection and application of minimally invasive procedures can be performed in a day surgery
Anaesthetic selection criteria We have identified absolute and relative criteria for operations under day surgery
The main advantage of operations under day surgery is to reduce the risk of nosocomial infection, and from the standpoint of the patient and the parent operation in less impact on their personal lives
Summary
One of the urgent problems of modern pediatric surgery is the organization of high quality care for children in the hospital one day, as most of the planned operations with proper patient selection and application of minimally invasive procedures can be performed in a day surgery. The main advantage of operations under day surgery is to reduce the risk of nosocomial infection, and from the standpoint of the patient and the parent operation in less impact on their personal lives. Safety and efficiency-these are the main characteristics influencing the choice of anesthesia in a day surgery should provide rapid and smooth induction, good intraoperative analgesia and amnesia, muscle relaxation and enough short period of awakening without side effects. The modern concept of central regional anesthesia is considering blockade day surgery as one of the most effective ways of interruption or inhibition of nociceptive information to the spinal level. It is known that the dura mater ends at S3-S4 am birth and level S2 for only two years, remaining at this level in adults This low position of the dural sac increases the risk spinal puncture when performing caudal block in infants. Because of this with the help of the caudal block is possible to achieve adequate analgesia, organs below the navel
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