ANESTHESIOLOGICAL MANAGEMENT IN ENDOUROLOGICAL SURGERY IN CHILDREN
DOI:
https://doi.org/10.37547/Keywords:
To evaluate the clinical efficacy, hemodynamic safety, and perioperative outcomes of low-flow sevoflurane anesthesia in children undergoing laparoscopic versus open endourological procedures.Abstract
Pediatric endourology represents one of the most dynamically evolving surgical disciplines, characterized by the progressive adoption of minimally invasive approaches that impose specific demands on anesthetic provision. The physiological immaturity of organ systems in children, their heightened sensitivity to volatile agents, and the unique cardiorespiratory challenges posed by pneumoperitoneum during laparoscopy necessitate a carefully individualized anesthetic strategy. Low-flow sevoflurane anesthesia has demonstrated favorable pharmacokinetic and hemodynamic properties in adult practice; however, comparative evidence regarding its safety and efficacy across laparoscopic versus open urological interventions in the pediatric population remains insufficient, particularly within the context of Central Asian clinical experience.
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