ANESTHESIOLOGICAL SUPPORT OF CHILDREN''S OPHTHALMASURGERY TO MUNICIPAL AUTONOMOUS HEALTH CARE INSTITUTION "CITY CLINICAL SPECIALIZED CENTER OF OPHTHALMOLOGY AND PEDIATRICS"
Covering the work of the anesthesia service, we share the experience of treating more than 5 thousand children with ophthalmic pathology, subjected to surgical interventions and examinations, conducted under general anesthesia. We have developed an algorithm for anesthesia and management of patients in the early postoperative period. On the basis of many years of experience, two basic methods of anesthesia have been developed and are being used. The choice of the expected anesthesia allowance is determined by the volume of the operation, the severity of the accompanying pathology, the emotional state and age of the child. Premedication for children is performed without the appointment of sedatives on the eve of the operation. Only basic drugs are used to treat concomitant pathology. In accordance with the international safety standard (ISO) during low-flow anesthesia, dynamic monitoring of the concentration of gases (FiO2), FexCO2 should be ensured. Monitoring of other parameters (pulse oximetry, ECG, non-invasive blood pressure, etc.) is carried out in the usual way. It should be noted that the frequency of complications does not exceed the average statistical figures and is 2-3%. During the work of anesthesia complications requiring resuscitation, during operations and in the postoperative period there was no.