كودكان CT-SCAN مقايسه بيهوشي تيوپنتال سديم وريدي با هالوتان استنشاقي در

Comparison of Intravenous Thiopental Sodium and Inhalative Halothane, for Pediatric CT-Scaning

CT-Scan is commonly used for diagnostic purposes. It is occasionally used for invasive therapeutic procedures. Patient immobility is required during each exposure to produce a high-quality image. For patients who are or unable to control their movements, specially in children, sedation or even anesthesia may be required. The purpose of this prospective randomized study was to determine the efficacy, safety and adverse events of two general anesthesia methods. One hundred children 10 days to 84 months of age scheduled for CT-Scanning were randomly assigned to one of two groups: Halothane or thiopental. Induction of anesthesia was done with halothane or thiopental. At induction and during the procedure oxygen satura???? (SPO2) and Pulserate (PR) was monitored. The sex, age, weight, preinduction SPO2 and PR had nonsignificant differences. The thiopental group showed significantly less mean induction time and longer mean recovery time and more oral feeding time than the halothane group. Rate, frequency and duration of SPO2 reduction in the thiopental group were significantly less than the halothane group. It was concluded that each method was safe and effective for remote pediatric anesthesia. Inhalation is superior in small children and neonates due to difficult access to IV line and the thiopental method is supperior than halothane in older children (due to more SPO2 reduction by inhalation anesthesia and easy access to IV line).