Clinical Study on Management of Anesthesia For Pediatric Laparoscopic Surgery

Objective:To investigate the methods and management of anesthesia for padiatric laparoscopic surgery.Methods:Based on methods of anesthesia,100 children undergoing laparoscopic surgeries were randomly divided into group 1 with intratracheal intubation(n=50),and group 2 with intravenous combined anesthesia(n=50).The levels of HR,P,BP,SpO2,ECG and PETCO2 were continuously monitored,blood gas analysis were performed before anesthesia,10 mins after pneumoperitoneum or after operation,and the effect of pneumoperitoneum by CO2,duration of surgery and condition of respiration were observed.Results:The rate of fine effect in pneumoperitoneum in group 1 and group 2 was respectively 100%and 80%.The duration of surgery in group 1 was shorter than that in group 2(P0.05).The monitoring of respiration showed 5 cases of asphyxia,4 laryngospasm in group 2,which were steady in group 1.Blood gas analysis showed the levels of PaCO2 and PaO2 at 10 mins after pneumoperitoneum were higher than that before anesthesia in group 2 (P0.05).In groupl,the level of PaCO2 was lower and that of PaO2 was higher at 10 mins after pneumoperitoneum than that in group 2,the differences was significant(P0.05).Conclusion:The technique of intratracheal intuition during general anesthesia is safe,feasible.it should be the first choice for pediatric laparoscopic surgery.