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当代小儿心脏手术中的麻醉与灌注问题

Anesthetic and perfusion issues in contemporary pediatric cardiac surgery.

作者信息

Miller Bruce E, Spitzer Kathy K

机构信息

Department of Anesthesiology, School of Medicine, Emory University, Atlanta, Georgia, USA.

出版信息

Crit Care Nurs Q. 2002 Nov;25(3):48-62; quiz 110-1. doi: 10.1097/00002727-200211000-00007.

DOI:10.1097/00002727-200211000-00007
PMID:12450159
Abstract

As the fields of pediatric cardiology and cardiac surgery advance in complexity and in accountability for clinical and economic outcomes, several issues traditionally associated with the operating room are becoming important to physicians, nurses, and respiratory therapists who take care of children after cardiac surgery. The article discusses the concepts of "fast track" cardiac surgery, regional anesthetic techniques, coagulopathies and bleeding after cardiopulmonary bypass, intraoperative ultrafiltration, and mechanical circulatory assist devices.

摘要

随着小儿心脏病学和心脏外科领域在临床和经济成果的复杂性及责任方面不断发展,一些传统上与手术室相关的问题对于心脏手术后照顾儿童的医生、护士和呼吸治疗师而言正变得至关重要。本文讨论了“快速通道”心脏手术、区域麻醉技术、体外循环后的凝血病和出血、术中超滤以及机械循环辅助装置等概念。

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