Comparative use of inhaled anesthetics in neonates operated for necrotizing enterocolitis.

Abstract

Introduction Multicomponent anesthesia with inhaled components is the most common type of anesthesia in neonatal anesthe- siology. Among modern inhaled anesthetics, the closest to the requirements is sevoflurane. The objective of the study is to improve the anesthesia care for newborns op- erated on for necrotic enterocolitis by comparing differ- ent methods of anesthesia with an inhaled component. Material and Methods To optimize the anesthetic benefits, we studied and car- ried out a comparative analysis of two options for inhala- tion anesthesia during surgical interventions for necrotic enterocolitis. The study included 67 newborns operated on for necrotic enterocolitis. Patients were divided into 2 groups depending on the applied inhalation anesthetic: I A (n = 42) group anesthesia was performed with halo- thane, I B (n = 25) group with sevoflurane. Results Many of the positive properties of sevoflurane listed above make it optimal for multicomponent anesthesia in newborns with necrotic enterocolitis. Conclusion Multicomponent anesthesia with the use of sevoflurane at the stages of induction and basic anesthesia provides adequate protection for newborns during surgical inter- ventions for necrotic enterocolitis.

Keywords

• newborn
• necrotic enterocolitis