par Marynen, L.;Cadranel, Samy ;Rodesh, F
Référence Acta endoscopica, 13, 2, page (101-107)
Publication Publié, 1983
Article révisé par les pairs
Résumé : 200 oesophagoscopies with or without dilatation were performed under general anesthesia in 20 children for the following conditions: burn of the digestive tract from mouth to stomach, stenosis of the oesophagus due to burn or surgical suture, stenosis of the oesophagus due to herpes, radium therapy or peptic oesophagitis. Examinations are performed in the operating room with continuous cardiorespiratory monitoring. The technique of anesthesia consists of either intravenous injection of methohexital, thalamonal and succinylcholine or intramuscular injection of ketamine followed by its intravenous injection. Trachea is always intubated with a sterile polyethylene endotracheal tube. There was no damage to the glottis with these tubes, despite multiple intubations. There were 3 perforations of the oesophagus in the burned patients. A child developed an extrapyramidal syndrome upon awakening due to thalamonal, which was successfully treated with ponalide. During the postoperative period, pulmonary examination is mandatory for the detection of pneumothorax or of lung infection.