Tobias J D
Departments of Anesthesiology and Child Health, University of Missouri, Columbia, Missouri, USA.
Anesthesiol Clin North Am. 2001 Mar;19(1):173-86, viii. doi: 10.1016/s0889-8537(05)70218-2.
The pediatric applications of minimally invasive surgical procedures such as thoracoscopy continue to increase. Specific alterations in anesthetic management may be required during the perioperative care of these patients. This article reviews the anesthetic care of infants and children during thoracoscopy with emphasis on cardiopulmonary disturbances of the patient, techniques to isolate the operative and nonoperative lungs and provide one-lung ventilation to improve surgical visualization, cardiopulmonary alterations induced by the creation of the artificial pneumothorax or the absorption of CO2 by the plural surface, intraoperative management of one-lung ventilation, and the potential for and treatment of inadvertent CO2 embolism.
胸腔镜等微创手术在儿科的应用持续增加。在这些患者的围手术期护理期间，可能需要麻醉管理的特定改变。本文回顾了胸腔镜检查期间婴幼儿的麻醉护理，重点关注患者的心肺功能紊乱、隔离手术侧肺和非手术侧肺并提供单肺通气以改善手术视野的技术、人工气胸的形成或胸膜表面对二氧化碳的吸收所引起的心肺改变、单肺通气的术中管理以及意外二氧化碳栓塞的可能性和治疗。
