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早产儿疝气修补术中的脊髓麻醉。

Spinal anesthesia in preterm infant undergoing herniorrhaphy.

作者信息

Libby Amber

机构信息

Northeast Georgia Medical Center, Gainesville, Georgia, USA.

出版信息

AANA J. 2009 Jun;77(3):199-206.

Abstract

Inguinal hernias are the most common diagnosis requiring surgical repair in children of all ages. Anesthetic management of premature infants is often difficult due to their comorbidities and propensity for apnea and bradycardia. General anesthesia has been shown to be associated with an increased incidence of postoperative adverse events. The purpose of this review is to determine the benefits and risks of spinal anesthesia in preterm infants undergoing herniorrhaphy. The use of spinal anesthesia in this population has been shown to decrease the incidence of postoperative adverse events.

摘要

腹股沟疝是各年龄段儿童中最常见的需要手术修复的疾病诊断。由于早产儿存在合并症以及发生呼吸暂停和心动过缓的倾向,其麻醉管理往往很困难。全身麻醉已被证明与术后不良事件的发生率增加有关。本综述的目的是确定脊髓麻醉用于接受疝修补术的早产儿的益处和风险。在这一人群中使用脊髓麻醉已被证明可降低术后不良事件的发生率。

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