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本文引用的文献

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Ponseti management of clubfoot in older infants.大龄婴儿马蹄内翻足的庞塞蒂疗法
Clin Orthop Relat Res. 2006 Mar;444:224-8. doi: 10.1097/01.blo.0000201147.12292.6b.
2
Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period.儿童围手术期麻醉并发症：一个包含30个月内24165例麻醉病例的数据库。
Paediatr Anaesth. 2004 Feb;14(2):158-66. doi: 10.1111/j.1460-9592.2004.01167.x.
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[Treatment of congenital clubfoot with the Ponseti method].[庞塞蒂方法治疗先天性马蹄内翻足]
Acta Orthop Traumatol Turc. 2002;36(4):281-7.
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Ponseti versus traditional methods of casting for idiopathic clubfoot.庞塞蒂方法与传统手法治疗特发性马蹄内翻足的比较。
J Pediatr Orthop. 2002 Jul-Aug;22(4):517-21.
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Anesthesia-related cardiac arrest in children: initial findings of the Pediatric Perioperative Cardiac Arrest (POCA) Registry.儿童麻醉相关心脏骤停：儿科围手术期心脏骤停（POCA）登记处的初步发现。
Anesthesiology. 2000 Jul;93(1):6-14. doi: 10.1097/00000542-200007000-00007.
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Treatment of idiopathic clubfoot. A thirty-year follow-up note.特发性马蹄内翻足的治疗。一份30年的随访记录。
J Bone Joint Surg Am. 1995 Oct;77(10):1477-89. doi: 10.2106/00004623-199510000-00002.
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Long-term results of treatment of congenital club foot.先天性马蹄内翻足的长期治疗结果。
J Bone Joint Surg Am. 1980 Jan;62(1):23-31.
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庞塞蒂法治疗马蹄内翻足跟腱切断术的镇静方案

Sedation protocols for Ponseti clubfoot Achilles tenotomy.

作者信息

Bor Noam, Katz Yeshayahu, Vofsi Oded, Herzenberg John E, Zuckerberg Aaron L

机构信息

Pediatric Orthopedic Unit, HaEmek Medical Center, Afula, 18101, Israel.

出版信息

J Child Orthop. 2007 Dec;1(6):333-5. doi: 10.1007/s11832-007-0059-8. Epub 2007 Nov 3.

DOI:10.1007/s11832-007-0059-8
PMID:19308528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2656754/
Abstract

PURPOSE

Ponseti clubfoot management requires percutaneous tenotomy in 90% of cases, typically with local anesthesia. We report two light sedation protocols for outpatient tenotomy.

METHODS

Operating room protocol: 24 patients (36 club feet; mean age at tenotomy, 70 days) underwent mask induction with oxygen/nitrous oxide. Pediatric intensive care unit protocol: five patients (eight club feet; mean age at tenotomy, 119 days) underwent intravenous propofol infusion with supplemental oxygen.

RESULTS

All patients were discharged several hours after surgery with no complications. Anesthesia that is administered intravenously might have less risk of bronchial reaction than anesthesia that is administered by inhalation.

CONCLUSIONS

Our light sedation protocols offer safe alternatives to general anesthesia. Disadvantages include increased cost when compared with local anesthesia. Light sedation can be used effectively and has advantages when treating older infants who might struggle while under local anesthesia.

摘要

目的

庞塞蒂法治疗马蹄内翻足在90%的病例中需要经皮跟腱切断术，通常采用局部麻醉。我们报告两种用于门诊跟腱切断术的轻度镇静方案。

方法

手术室方案：24例患者（36只马蹄内翻足；跟腱切断术平均年龄70天）接受氧气/氧化亚氮面罩诱导。儿科重症监护病房方案：5例患者（8只马蹄内翻足；跟腱切断术平均年龄119天）接受静脉注射丙泊酚并补充氧气。

结果

所有患者术后数小时出院，无并发症。静脉给药麻醉可能比吸入给药麻醉发生支气管反应的风险更低。

结论

我们的轻度镇静方案为全身麻醉提供了安全的替代方案。缺点包括与局部麻醉相比费用增加。轻度镇静可有效使用，在治疗局部麻醉时可能挣扎的大龄婴儿时有优势。