helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2023-16-1-47-50helmholtzeyeinstitute-1167Research ArticleКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯCLINICAL STUDIESИнгаляционная анестезия в лазерной хирургии ретинопатии недоношенныхInhalation anesthesia in laser surgery of retinopathy of prematurityЛесовойС. В.LesovoyS. V.

Сергей Валерьевич Лесовой — врач-офтальмохирург, заведующий офтальмологическим отделением

ул. Героев Панфиловцев, д. 28, Москва, 125373

Sergei V. Lesovoy — ophthalmic surgeon, head of the ophthalmological departmen

28, Geroev Panfilovtsev St., Moscow, 125373

sergforester1@mail.ruБогинскаяО. А.BoginskayaO. A.

Ольга Андреевна Богинская — канд. мед. наук, врач-офтальмолог офтальмологического отделения

ул. Героев Панфиловцев, д. 28, Москва, 125373

Olga A. Boginskaya — Cand. of Med. Sci., ophthalmologist of the ophthalmological departmen

28, Geroev Panfilovtsev St., Moscow, 125373

АрестоваЕ. С.ArestovaE. S.

Елена Сергеевна Арестова — врач-анестезиолог отделения анестезиологии и реанимации

ул. Героев Панфиловцев, д. 28, Москва, 125373; 4-й Добрынинский пер., д. 1/9, 119049, Москва

Elena S. Arestova — anesthesiologist of the department of anesthesiology and intensive care

28, Geroev Panfilovtsev St., Moscow, 125373 ; 1/9, 4th Dobryninsky Lane, Moscow, 119049

ГБУЗ «Детская городская клиническая больница им. З.А. Башляевой» ДЗМРоссияZ.A.Bashlyaeva Children's City Clinical HospitalRussian FederationГБУЗ «Детская городская клиническая больница им. З.А. Башляевой» ДЗМ; ГБУЗ «Морозовская детская городская клиническая больница» ДЗМРоссияZ.A.Bashlyaeva Children's City Clinical Hospital; Morozov Children’s City Clinical HospitalRussian Federation2023140320231614750Copyright © Лесовой С.В., Богинская О.А., Арестова Е.С., 20232023Лесовой С.В., Богинская О.А., Арестова Е.С.Lesovoy S.V., Boginskaya O.A., Arestova E.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://roj.igb.ru/jour/article/view/1167

Цель работы — оценить эффективность анестезии с применением ларингеальной маски при ингаляционном наркозе у глубоконедоношенных детей с низкой и экстремально низкой массой тела с сопутствующей соматической патологией при выполнении хирургического лечения ретинопатии недоношенных (РН) в активной фазе заболевания. Материал и методы. Операция отграничительной лазеркоагуляции сетчатки (ЛС) выполнена 477 недоношенным детям с гестационным возрастом 25–32 нед. Вводный наркоз осуществлялся ингаляцией севофлурана (Baxter Healthcare Corp, США) с последующей установкой ларингеальной маски. Операция отграничительной ЛС выполнялась на лазерных установках с адаптером на бинокулярном налобном офтальмоскопе Supra (Quantel Medical, Франция) и «Лахта-Милон» («Лазермедсервис», Россия). После окончания оперативного вмешательства выход из седации и восстановление сознания происходили в течение 7–10 мин. Результаты. Проведение анестезии с применением ларингеальной маски при ингаляционном наркозе севофлураном значительно снижает уровень анестезиологических осложнений у недоношенных детей с сопутствующей патологией и сокращает время пребывания в стационаре. Быстрое выведение препарата позволяет начать кормление через час после оперативного вмешательства. Заключение. Ингаляционная анестезия севофлураном является методом обеспечения адекватной анестезии недоношенным детям при лечении РН в активной фазе.

Purpose: to assess the efficacy of inhalation anesthesia with laryngeal mask in extremely premature infants with low or extremely low birthweight and somatic comorbidities during the surgery of retinopathy of prematurity (ROP) in the active phase of the disease. Materials and methods. 477 infants of 25 to 32 weeks’ gestational age were treated by delimiting retinal laser photocoagulation. Inductive anesthesia with Sevoflurane (BAXTER HEALTHCARE Corp, USA) was followed by placing a laryngeal mask. The delimiting retinal laser photocoagulation was performed using laser devices with an adapter on a binocular forehead ophthalmoscope Supra (Quantel Medical, France) and LachtaMylon (Lasermedservis, Russia,). After the surgery, the recovery from sedation and return of consciousness took 7 to 10 minutes. Results. An inhalation of Sevoflurane with the adoption of a laryngeal mask airway significantly decreases complications of anesthesia in premature infants with comorbidities and reduces the length of hospital stay. The quick clearance of Sevoflurane makes it possible to begin feeding the infant one hour after the surgery. Conclusion. Inhalation anesthesia with Sevoflurane is a method ensuring that preterm infants receive adequate anesthesia in the treatment of retinopathy of prematurity in its active phase.

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The authors declare that there are no conflicts of interest present.