Pediatric Anesthesia 61 cases of hand injuries.doc

 PAGE \* MERGEFORMAT 4 Pediatric Anesthesia 61 cases of hand injuries [Abstract] Objective To investigate pediatric anesthesia for hand trauma patients. Methods 61 cases of pediatric hand injury patients before sedation, with brachial plexus anesthesia with intraoperative intravenous ketamine anesthesia needle satisfactory. Results of children in stable patients were no discomfort, no restlessness surgery. Conclusion of this anesthetic method has clinical value, should be applied. [Keywords:] children; hand injuries; anesthesia Pediatric hand injury that required emergency surgery hand surgery trauma of dealing with one of the anesthetic effect of preoperative largely determine whether the smooth progress of surgery, results of operations of the pros and cons. In our hospital from July 2007 to 2009 7 months patients were treated 61 cases of hand injuries in children, using different specific injuries of anesthesia, surgery achieved good results, now reported below. 1 Data and methods 1.1 General information on children with a total of 61 patients in this group, 43 males and 18 females; aged 2 to 10 years with an average of 4.7 years. Cuts of 33 cases, 15 cases of crush injury; animal bite in 2 cases, other causes of injury 11. tendon in children are associated with different degrees of neurovascular injury. operative time 30 min ~ 2.5 h. 1.2 into the operating room before anesthesia in children are to be at 0.2 ~ 0.4 mg / kg IM stability needle +0.02 mg / kg IM atropine needles, wait in a sleep state, the use of ketamine pin 2 mg / kg intravenous United brachial plexus anesthesia (lidocaine needle 5 ~ 8 mg / kg). intraoperative monitoring of blood pressure and heart rate. 2 Results Operative time was 30 ~ 150 min, recovery time 50 ~ 160 min, patients in stable patients, no obvious discomfort, 96% There were no restlessness. 3 Discussion Ketamine has a good analgesic and “separation” anesthesia. Concerns the clinical application of