ABSTRACT
The authors describe cardiovascular changes and needs for blood transfusion in 70 babies and children who received adrenalin into hard palate (A = 40) POR-8 and (B = 30) adrenalin and were operated due to cheilognathopalatoschisis. The effectiveness between POR-8 and adrenalin are compared and the advantages of adrenalin are described. The infiltration of adrenalin in dosage from 5-10 micrograms/kg increases arterial blood pressure for 30% and puls for 10%. 20% of operated children who have got POR-8 2.5 IU received blood transfusion as well. Children who received adrenalin, did not get transfusion.
Subject(s)
Blood Pressure/drug effects , Cleft Palate/surgery , Epinephrine/administration & dosage , Heart Rate/drug effects , Blood Transfusion , Child , Child, Preschool , Epinephrine/pharmacology , Humans , InfantABSTRACT
Blood concentrations of epinephrine were measured after local infiltration of epinephrine and procaine in children, undergoing surgical corrections of lip and palate clefts. Local anaesthesia was combined with general intravenous anaesthesia. Cardio-circulatory parameters were changing moderately in spite of enormous elevations of epinephrine serum levels. Monitoring of vital signs is obligatory with this combined method.