Aims: To evaluate the effectiveness of induction of sevofluran anesthesia for ophthalmic surgeries among children with difficulties in intravenous injection and figure out the effects on the respiratory and circulatory systems when using this method. Method: Clinical trial study on 30 children aged 0-10 years old, induction of anesthesia by sevofluran 8 percent, patients breathed through oxygen mask at 2 liters/ minute, LMA insertion was performed, followed by intravenous injection and pain relief by Fentanyl 1-3mcg/kg, anesthesia maintained by servofluran 2-3 percent and oxygen 1 litre/minute. Evaluation of effectiveness of sevofluran induction, possible complications on the respiratory and circulatory systems such as laryngospasm, lack of oxygen or gastroesophageal reflux. Results: Induction of anesthesia took 3-5 minutes, 92 percent cases saw good result, 8 percent acceptable, equal to the performance of anesthesia induction by Propofol. 02 patients (7 percent) reported slight cough and irritating throat, No patients suffered laryngospasm, gastroesophageal reflux, gas in stomach; 01 patient (3 percent) experienced slight hyper-secretion. Conclusion: Induction of anesthesia by sevofluran has proven safe and effective in ophthalmic surgeries for children with difficulties in intravenous injection.
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