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[ABSTRACT] Objective: To evaluate the security of anesthesia management both in adenoidectomy and in tonsillectomy for epileptic children. Method: Anesthesia was induced with midazolam, propofol, fentanyl and vecuronium by endotracheal intubation and retention with a low concentration of enflurane. Result: The response was good. Hyperspasmia did not occur during the operations. Conclusion: Combined anesthesia management is more responsible and safe for epileptic children both in an adenoidectomy and in a tonsillectomy.
1.2 General anesthesia management fasting, antiepileptic drug use to 1 day before surgery, preoperative 30? Min with atropine 0.01? Mg/kg-1, benzene Bobby duly sodium 3 4? mg/kg-1 intramuscular injection. Into the operating room after the first open vein, uncooperative patients before propofol 1 2? Mg/kg-1 bolus, then monitors,[link widoczny dla zalogowanych], oxygen masks Qutan 3? Min after midazolam 0.1? Mg/kg-1 , propofol 2.0 2.5? mg/kg-1, fentanyl 3.0 4.0? mg/kg-1, vecuronium 0.1? mg/kg-1 rapid induction of oral endotracheal intubation; respiratory management: respiratory rate 14 25? bpm, Vt10? ml / kg, inspiratory to expiratory ratio of 1:1.5 2. Maintenance of anesthesia with propofol 5? Mg/kg-1/h-1 continuous infusion, 1.0% enflurane inhalation of 2.5%. Routine monitoring of cardiac surgery in children with epilepsy, adenoidectomy, tonsillectomy anesthesia management plans, pulse, oxygen saturation and end-tidal CO2.
AAnesthesia both in an adenoidectomy and in a tonsillectomy for

[KEY WORDS] Epilepsy; Children; Adenoid; Tonsil; Anesthesia 2002 年 6 月至 2006 年 6 months,[link widoczny dla zalogowanych], our hospital with midazolam , propofol, fentanyl, vecuronium and low concentrations of enflurane inhalation endotracheal intubation for general anesthesia in children with epilepsy adenoidectomy, tonsillectomy, and achieved satisfactory anesthesia,[link widoczny dla zalogowanych], is reported as follows.
Key words adenoid tonsils in children with epilepsy narcotic
1.1 General information on this group a total of 12 cases in children, including 9 males and 3 females, 5 12 years old, most of the series after the premature child or birth asphyxia, diagnosed as cerebral palsy, are of secondary epilepsy, ASA Ⅰ level. Preoperative examination of all children without exception, except 1 case occurred 1 month before the seizure, the rest had no recent seizures.

Smooth anesthesia all patients, satisfactory results, the intraoperative monitoring indicators remain stable, all patients were at the end of surgery 15 30? Min awake extubation, the safe return of wards.
3.2 preoperative psychological education and more children with epilepsy associated with mental disorder, for several reasons: (1) itself is the cause of epilepsy [1]; (2) the quality of the brain control lesions; (3) the impact of antiepileptic drugs; (4) psychological factors. Fear and emotional incentives for the seizure, for the cooperation of children, the trust should be made to meet the end of anesthesia smooth implementation and operation resumed. Preoperative use of phenobarbital in sufficient quantities can effectively reduce their crying into the operating room to avoid grand mal epilepsy, in order to facilitate routine use of atropine to maintain airway patency after surgery to reduce the nausea and vomiting, excessive secretion and other adverse effects [2].
1 Materials and Methods
3 Discussion
2 results
3.1 preoperative long-term use of antiepileptic drugs in children, the liver metabolism may decrease, the treatment must be given to protect the liver. In addition, children should be carefully evaluated on the degree of airway patency, the existence of intubation difficulty. Should select the appropriate catheter tube, which normally select the smaller the first, mainly because children are relatively high glottis, the epiglottis is longer, of glottic exposure, coupled with easy to damage in children caused by tracheal tissue edema.
Adenoidectomy in children with epilepsy, tonsillectomy anesthesia management

Abstract assessment of adenoidectomy in children with epilepsy,[link widoczny dla zalogowanych], when tonsillectomy anesthesia safety. Methods: midazolam, propofol, fentanyl, vecuronium, low concentration of enflurane inhalation anesthesia endotracheal intubation. Results: The anesthetic effect, no 1 case of paroxysmal convulsions. Conclusion: midazolam, propofol, fentanyl phenol, vecuronium, low concentration of enflurane inhalation anesthesia endotracheal intubation can be safely used in children with epilepsy adenoidectomy, tonsillectomy.
Epilepsy is a recurrent abnormal discharge of neurons due to temporary dysfunction of the central nervous system chronic disease, high fever, hypoxia, hypoglycemia, hypocalcemia, hypomagnesemia as well as the local sensory stimulation of the brain lesions in the excitability of neurons is too high, resulting in abnormal high-frequency discharge, to the proliferation of normal brain tissue, resulting in extensive brain excitability, which appears convulsions, manifested as a sudden loss of consciousness, with tonic, spastic muscle contraction, the course is longer with the spirit of personality abnormalities. However, epilepsy is not a contraindication for elective surgery, anesthesia principles is to avoid induced grand mal. More articles related to topics：

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