Latham Gregory J, Greenberg Robert S
Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA 98105, USA.
Paediatr Anaesth. 2010 Jun;20(6):479-89. doi: 10.1111/j.1460-9592.2010.03261.x. Epub 2010 Mar 11.
In part three of this three-part review, we continue with discussion of the effects of tumor and its therapy as they impact neurocognitive functioning, psychosocial issues of the patient and family, and the mechanisms and experience of pain in the child with cancer. A discussion of preanesthetic testing and evaluation in this patient population is next presented for the reader, focusing on the factors which pose the commonest and greatest risks to the child undergoing surgery. Lastly, an algorithmic approach to evaluating and managing key components of the medical history of pediatric patients is presented.
在这个分为三个部分的综述的第三部分中，我们将继续讨论肿瘤及其治疗对神经认知功能、患者及其家庭的心理社会问题以及癌症患儿疼痛机制和体验的影响。接下来为读者介绍针对这一患者群体的麻醉前检查和评估，重点关注对接受手术的儿童构成最常见和最大风险的因素。最后，介绍一种评估和管理儿科患者病史关键组成部分的算法方法。
