Geri A, Graziano D V, Gifuni D, Ruggiero R, Bandieramonte G, Ruggiero C, Ruggiero A
Servizio di anestesia e rianimazione, Ospedale Santobono, U.S.L. 40, Napoli.
Agressologie. 1990 May;31(5):284-6.
From 1974 through 1989, 36 patients with arteriovenous malformations were treated in the neuroradiological unit of the Santobono Children's Hospital, in Naples, 7 of these patients were younger than 3 years of age. During such a time-span, dramatic improvements in diagnostic work-up were jelded by introduction of CT-scan and MRI; better angiographic techniques, progress in anaesthesia drugs, equipment and procedures and more rational surgical modalities. Anaesthesia must be tailored in each patient with special consideration of the clinical and neurological conditions of the patients as well of the neuroradiological procedure, specifically, with minimal side effects on cardiovascular and respiratory functions as well on intracranial pressure. The present paper discuss of equipment for cardiovascular assistance and drugs to be employed in the various steps of the diagnostic work-up of such patients.
1974年至1989年期间,那不勒斯圣托博诺儿童医院神经放射科对36例动静脉畸形患者进行了治疗,其中7例患者年龄小于3岁。在此期间,CT扫描和MRI的引入、更好的血管造影技术、麻醉药物、设备和程序的进步以及更合理的手术方式,使诊断检查有了显著改善。麻醉必须根据每位患者的情况进行调整,特别要考虑患者的临床和神经状况以及神经放射学检查程序,具体而言,要对心血管和呼吸功能以及颅内压产生最小的副作用。本文讨论了此类患者诊断检查各个步骤中使用的心血管辅助设备和药物。