• E Martini, F Bressan, S Benvenuti, L Rizzo, M S La Torre, and G P Novelli.
• Istituto di Anestesia e Rianimazione, Università degli Studi, Firenze.
• Minerva Anestesiol. 2000 Nov 1; 66 (11): 807-10.

BackgroundThe aim of this study was to evaluate the discharge rate of children undergoing ophthalmic surgery of medium length (69-120') in a day-hospital regime under general anesthesia with orotracheal intubation and using Sevoflurane as the only anesthetic agent.MethodsExperimental Protocolprospective study.Settingthe study was carried out in the operating theatre of the Ophthalmic Clinic at Florence University.Patients58 pediatric patients aged 2-10 years, ASA I-II, 13-34 kg.Operationscorrection of strabismus, cataract, glaucoma, palpebral ptosis and intubation of lacrimal tracts. Parameters measure: Any signs of reactivity in the airways to Sevoflurane on induction or reawakening (cough, bronchospasm, laryngospasm and psychomotor agitation), hemodynamic variables (heart rate and NIBP); reawakening time (from turning off the vaporiser to extubation), discharge time from recovery room (SatO2 > or = 97% in ambient atmosphere), discharge time from hospital (stable vital signs, response to simple and complex commands).ResultsThe mean reawakening time was 7 min, discharge time from the recovery room was 20 min, discharge time from the hospital 80% after four hours, 100% after six hours. No respiratory and/or cardiovascular complications were reported nor psychomotor agitation.ConclusionsGeneral anesthesia with Sevoflurane and Atracurium was found to be a realistic and reliable technique in pediatric ophthalmic surgery of medium length performed in day hospital.

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