Tobias J D
Department of Child Health and Anesthesiology, Division of Pediatric Critical Care/Pediatric Anesthesiology, University of Missouri, Columbia, Missouri 65212, USA.
Curr Opin Anaesthesiol. 2001 Feb;14(1):77-85. doi: 10.1097/00001503-200102000-00013.
Anesthesia for thoracic surgery in children covers a wide range of ages, associated disease processes, and surgical pathology. Therefore, the anesthetist must be prepared to deal with a diverse group of patients of all ages along the pediatric spectrum, combining knowledge regarding both pediatric and thoracic anesthesia. The following article reviews the anesthetic care of infants and children during thoracic surgery with emphasis on: (i) preoperative assessment; (ii) techniques for one-lung ventilation; (iii) anesthetic implications of specific procedures including laryngoscopy/bronchoscopy, thoracoscopic procedures, and open thoracotomy; and (iv) postoperative considerations including pain management.
小儿胸外科手术的麻醉涉及广泛的年龄范围、相关疾病过程和手术病理。因此，麻醉医生必须准备好应对小儿年龄段各个年龄层的不同患者群体，将小儿麻醉和胸科麻醉知识相结合。以下文章回顾了婴幼儿及儿童在胸外科手术期间的麻醉护理，重点包括：（i）术前评估；（ii）单肺通气技术；（iii）特定手术（包括喉镜检查/支气管镜检查、胸腔镜手术和开胸手术）的麻醉影响；以及（iv）术后注意事项，包括疼痛管理。
