Tobias J D
Department of Child Health, University of Missouri, Columbia 65212, USA.
Paediatr Anaesth. 1999;9(2):103-10. doi: 10.1046/j.1460-9592.1999.9220281.x.
As the equipment and technique have improved, minimally invasive surgery is being applied to younger and younger children. With the advent of this valuable surgical technique, there are also specific modifications necessary in the anaesthetic technique. When considering the anaesthetic implications of these patients, one must account for both the patient's underlying status as well as physiological derangements induced by the surgical procedure. The following article attempts to address and review the specific anaesthetic implications of thoracoscopic procedures in neonates, infants, and children including the preoperative evaluation, intraoperative care and monitoring, and postoperative issues including analgesia. The techniques of one-lung anaesthesia, commonly required for thoracoscopy, are reviewed as well as consideration of the adverse effects which can occur during thoracoscopy including inadvertent intravascular CO2 embolism.
随着设备和技术的改进，微创手术正应用于越来越小的儿童。随着这种有价值的外科技术的出现，麻醉技术也需要进行特定的调整。在考虑这些患者的麻醉问题时，必须兼顾患者的基础状况以及手术过程引起的生理紊乱。以下文章试图探讨和综述胸腔镜手术在新生儿、婴儿和儿童中的特定麻醉问题，包括术前评估、术中护理与监测，以及术后问题，如镇痛。文中还综述了胸腔镜检查通常所需的单肺麻醉技术，以及对胸腔镜检查期间可能发生的不良反应的考量，包括意外血管内二氧化碳栓塞。
