Walker Amy, Stokes Monica, Moriarty Anthony
Birmingham Children's Hospital NHS Foundation Trust, Birmingham, West Midlands, UK.
Paediatr Anaesth. 2009 Feb;19(2):119-25. doi: 10.1111/j.1460-9592.2008.02801.x.
Centers with large cardiac workloads may be presented with neonates who need major general surgery before correction or palliation of a serious cardiac defect. This is still a rare situation with only three short case reports available in the medical literature (1-3). We have reviewed the anesthetic and analgesic regimens of 18 such neonates who presented to the Birmingham Children's Hospital in the 4-year period 2004-2007. These children require meticulous preoperative evaluation and although it might be anticipated that they would pose a serious challenge to anesthetists, in reality with thorough investigation, preparation, and careful management, they tolerate general anesthesia well. These children may be transferred to centers of specialist pediatric cardiac anesthesia to be benefited from experience obtained there.
心脏工作量大的医疗中心可能会接收一些新生儿，这些新生儿在矫正或缓解严重心脏缺陷之前需要进行大型普外科手术。这种情况仍然很罕见，医学文献中仅有三篇简短的病例报告（1 - 3）。我们回顾了2004年至2007年这四年间在伯明翰儿童医院就诊的18例此类新生儿的麻醉和镇痛方案。这些患儿需要进行细致的术前评估，尽管预计他们会给麻醉师带来严峻挑战，但实际上，通过全面的检查、准备和精心管理，他们对全身麻醉的耐受性良好。这些患儿可转至小儿心脏麻醉专科中心，以便从中受益于那里积累的经验。
