Anaesthesia and intra-ocular pressure in young children. A study of three different techniques of anaesthesia

This study compares the effects of three anaesthetic techniques on intra-ocular pressure (IOP) in infants and children: spontaneous ventilation using nitrous oxide with halothane (group 1) or isoflurane (group 2) and controlled ventilation with atracurium (group 3). The IOP remained constant in grou...

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Bibliographic Details
Published in:Anaesthesia 1987-03, Vol.42 (3), p.259-265
Main Authors: DEAR, G. DE L, HAMMERTON, M, HATCH, D. J, TAYLOR, D
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia depending on patient's condition
Anesthesia, Inhalation - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Atracurium - pharmacology
Biological and medical sciences
Child
Child, Preschool
Halothane - pharmacology
Humans
Infant
Intraocular Pressure - drug effects
Isoflurane - pharmacology
Medical sciences
Nitrous Oxide
Respiration, Artificial
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Summary:This study compares the effects of three anaesthetic techniques on intra-ocular pressure (IOP) in infants and children: spontaneous ventilation using nitrous oxide with halothane (group 1) or isoflurane (group 2) and controlled ventilation with atracurium (group 3). The IOP remained constant in groups 1 and 2 until the administration of suxamethonium when it rose significantly; this rise was maintained during tracheal intubation. In group 3 IOP increased on administering atracurium and a further increase was seen during tracheal intubation. Diagnostic intra-ocular pressure measurements should be made during spontaneous breathing prior to tracheal intubation. The IOP was not directly affected by arterial blood pressure or by expired CO2 tension.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1987.tb03036.x