SÜDƏMƏR UŞAQLARDA GÖZYAŞI KANALININ DRENAJI ZAMANI AĞRISIZLAŞDIRMA ÜSULUNUN TƏTBİQİ

Xülasə

SUMMARY

Purpose. The aim of the study is to use the premedication and an optimal method of anaesthesia in the lacrimal canal
probing in the dacryocystitis children from 5 months to 1 year of old.

Materials and methods
68 patients at the age of 5 months till 1 year had been subjected to investigations. The patients were divided into 2
groups. In the first group including 32 children we’d used sedative and antihistamine preparation in the preoperative
period; in the second group (36 patients) 0,5% midazolam (dormikum) per os and gamma-hydroxybuthyrate
(GHB) (100 mq/kq) in the 30-35 ml of 5% glucose solution during 5-10 min. were used. Analgesia of the 2nd
group patients was performed at the spontaneous breath using the laryngeal masks LMA-ProSeal. The adequacy
of analgesia was valued according to the central haemodynamic indices and by DAN (Douleur Aigue du Nouveau-
ne) scale.

Conclusion
So we may conclude that premedication and anesthesia of patients in the second group comparing with the
first one is more effective. And the application of laryngeal masks LMA-ProSeal in the spontaneous breath is the
method of choice. Stability of the central haemodynamic indices and minimal change by DAN scale confirms this
method of analgesia optimization.