به عنوان يك شاخص باليني جهت ارزيابي عمق مناسب بيهوشي استنشاقي در كودكان JAW THRUST تعيين كفايت

Jaw Thrust as a Clinical Test to Assess the Adequate Depth of Anesthesia for Tracheal Intubations in Pediatric Inhalation Anesthesia

Introduction: Inhalation induction is a common method in pediatrics anesthesia . There is not suitable clincial guide for assessmen depth of anesthesia before intubation , in this study adequacy of Jaw thrust as a guide for this assessement was evaluated . Methods: In a clinical trial study 90 pediatric patient , ASA1 & 2, six month to 5 year old age , were divided in case and control groups. Inhalation inductions were done by 4% Halothane , 41it/min 02 and 4 Litlmin N2O under spontaneous ventilation. In case and control groups , Jaw thrust and ordinary methods were utilized respectively for assessment of depth of anesthesia befor intubations . Changes in HR , SpO2, end tidal of halothane and duration of induction , duration of laryngoscopy, reactions to intubations and complications were measured and then analyzed by t - test and Chi squar statistical tests. Results: Duration and complications of larynogscopy were greater in case than control group . Conclusion: Jaw thrust alone is not a good clinical test assessment of depth of anesthesia before intubation in inhalation anesthesia . Probaly one and half to two minutes after negative respones to jaw thrust is a suitable time for intubations in pediatrics inhalation anesthesia .