Ketamine anesthesia in strabismus surgery care for children.docVIP

 PAGE \* MERGEFORMAT 6 Ketamine anesthesia in strabismus surgery care for children [Keywords:] Strabismus A clinical data 2003  02 ~ 2007  01 hospital using general anesthesia (ketamine intravenous anesthesia) jointly carried out under local anesthesia in children with strabismus correction surgery 101 cases (146 eyes), male 53 cases, female 48 cases, aged 2 to 8 years old. Reference to China in April 1996 the National Children’s Eye Institute strabismus amblyopia prevention and treatment standards adopted by the Conference are divided into 43 cases of concomitant esotropia, concomitant exotropia in 37 cases of paralytic strabismus, 21 cases were ketamine anesthesia in strabismus surgery [1] . 2 nursing 2.1 Preoperative Care 2.1.l preoperative Missionary ① inform children and parents, surgical methods and precautions in order to alleviate their concerns and psychological tension to reduce the environmental and health workers in children with strangers, fear. Enhance compliance in order to facilitate the conduct of medical work and the children and parents co-operation. ② strict implementation of preoperative fasting, water, 6 h, and informed the fasting, the importance of water to enable parents to meet to ensure the smooth progress of surgery. ③ preoperative to avoid a cold, because cold can cause nasal and respiratory secretions increase in the number of narcotic insecurity, will delay the operation time. 2.1.2 preoperative preparation 3 d preoperative antibiotic eye drops by your doctor points, 3 to 4 times / d. Surgery on emptying of urine, it is hoped, the children with clothes, with a surgical marking, preoperative drug use by your doctor after the nurse into the operating room. 2.2 post-operative care 2.2.1 Anesthesia pillow supine taken away after 6 h, head to one side (a surgeon bias contralateral), to keep the airway smooth, timely and clear secretions, vomit, to prevent aspiration. Prepare oxygen equipment, suction apparatus and o