Toubekis Evjenia, Feldheiser Aarne, Erb Joachim, von Heymann Christian, Nachtigall Irit, Martiny Viktoria, Knipprath Ulrike, Spies Claudia
Charité-Universitätsmedizin Berlin, Klinik für Anästhesiologie und operative Intensivmedizin, Charité-Campus Mitte und Campus Virchow-Klinikum, Germany.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2007 Sep;42(9):644-54. doi: 10.1055/s-2007-990213.
Invasive monitoring is rarely used in children undergoing routine anaesthesia. Therefore the management of fluid therapy and its maintenance depends often on the experience of the anaesthetist. In situations of high volume uptake and during critical surgical procedures haemodynamic state can easily be underestimated and hypovolaemic episodes remain undetected. This article summarises recent developments of less invasive and continuous monitoring techniques available for paediatric use which probably represent a useful addition in optimising the perioperative haemodynamic performance.
侵入性监测在接受常规麻醉的儿童中很少使用。因此,液体治疗及其维持管理通常取决于麻醉医生的经验。在大量液体摄入的情况下以及关键手术过程中,血流动力学状态很容易被低估,低血容量情况也可能未被察觉。本文总结了可用于儿科的侵入性较小的连续监测技术的最新进展,这些技术可能有助于优化围手术期的血流动力学表现。