Collins Corey E, Everett Lucinda L
Department of Anesthesiology, Pediatric Anesthesia, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA.
Anesthesiol Clin. 2010 Jun;28(2):315-28. doi: 10.1016/j.anclin.2010.02.005.
The care of the child having ambulatory surgery presents a specific set of challenges to the anesthesia provider. This review focuses on areas of clinical distinction that support the additional attention children often require, and on clinical controversies that require providers to have up-to-date information to guide practice and address parental concerns. These include perioperative risk; obstructive sleep apnea; obesity; postoperative nausea and vomiting; neurocognitive outcomes; and specific concerns regarding common ear, nose, and throat procedures.
为接受门诊手术的儿童提供护理给麻醉医生带来了一系列特殊的挑战。本综述聚焦于一些临床区别领域，这些领域表明儿童常常需要额外关注，同时也关注一些临床争议，这些争议要求医生掌握最新信息以指导实践并回应家长的担忧。这些包括围手术期风险；阻塞性睡眠呼吸暂停；肥胖；术后恶心和呕吐；神经认知结局；以及关于常见耳鼻喉手术的特定担忧。
