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小儿深部脑刺激的麻醉

Anesthesia for pediatric deep brain stimulation.

作者信息

Sebeo Joseph, Deiner Stacie G, Alterman Ron L, Osborn Irene P

机构信息

Department of Anesthesiology, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, USA.

出版信息

Anesthesiol Res Pract. 2010;2010. doi: 10.1155/2010/401419. Epub 2010 Aug 10.

DOI:10.1155/2010/401419
PMID:20814550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2931390/
Abstract

In patients refractory to medical therapy, deep brain stimulations (DBSs) have emerged as the treatment of movement disorders particularly Parkinson's disease. Their use has also been extended in pediatric and adult patients to treat epileptogenic foci. We here performed a retrospective chart review of anesthesia records from 28 pediatric cases of patients who underwent DBS implantation for dystonia using combinations of dexmedetomidine and propofol-based anesthesia. Complications with anesthetic techniques including airway and cardiovascular difficulties were analyzed.

摘要

在药物治疗无效的患者中,深部脑刺激(DBS)已成为治疗运动障碍尤其是帕金森病的方法。其应用也已扩展到儿科和成年患者以治疗致痫灶。我们在此对28例因肌张力障碍接受DBS植入术的儿科患者的麻醉记录进行了回顾性图表审查,这些患者采用了右美托咪定和丙泊酚联合麻醉。分析了包括气道和心血管问题在内的麻醉技术并发症。

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Anesthesia for pediatric deep brain stimulation.小儿深部脑刺激的麻醉
Anesthesiol Res Pract. 2010;2010. doi: 10.1155/2010/401419. Epub 2010 Aug 10.
2
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The Effect of General Anesthesia on the Microelectrode Recordings From Pallidal Neurons in Patients With Dystonia.全身麻醉对肌张力障碍患者苍白球神经元微电极记录的影响。
J Neurosurg Anesthesiol. 2016 Jul;28(3):256-61. doi: 10.1097/ANA.0000000000000200.
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[Deep brain stimulation for Parkinson's disease and dystonia].[深部脑刺激治疗帕金森病和肌张力障碍]
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Delayed awakening in dystonia patients undergoing deep brain stimulation surgery.脑深部电刺激术后肌张力障碍患者觉醒延迟。
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Infections in Deep Brain Stimulator Surgery.脑深部电刺激手术中的感染
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Anesthetic challenges for deep brain stimulation: a systematic approach.深部脑刺激的麻醉挑战:一种系统方法。
N Am J Med Sci. 2014 Aug;6(8):359-69. doi: 10.4103/1947-2714.139281.

本文引用的文献

1
Dexmedetomidine for deep brain stimulator placement in a child with primary generalized dystonia: case report and literature review.右美托咪定用于一名原发性全身性肌张力障碍儿童的脑深部电刺激器植入:病例报告及文献综述
J Clin Anesth. 2009 May;21(3):213-6. doi: 10.1016/j.jclinane.2008.06.038.
2
Venous air embolism in deep brain stimulation.脑深部电刺激术中的静脉空气栓塞
Stereotact Funct Neurosurg. 2009;87(1):25-30. doi: 10.1159/000177625. Epub 2008 Nov 27.
3
Management of anesthesia in awake craniotomy.清醒开颅手术中的麻醉管理
Minerva Anestesiol. 2008 Jul-Aug;74(7-8):393-408.
4
Treatment of dystonia with deep brain stimulation.深部脑刺激治疗肌张力障碍
Neurotherapeutics. 2008 Apr;5(2):320-30. doi: 10.1016/j.nurt.2008.01.002.
5
Anesthesia for awake craniotomy: a retrospective study.
Neurol India. 2007 Oct-Dec;55(4):376-81. doi: 10.4103/0028-3886.33308.
6
Clinical experience with dexmedetomidine for implantation of deep brain stimulators in Parkinson's disease.右美托咪定用于帕金森病患者脑深部电刺激器植入术的临床经验
Anesth Analg. 2006 Nov;103(5):1224-8. doi: 10.1213/01.ane.0000239331.53085.94.
7
Globus pallidus deep brain stimulation in dystonia.苍白球深部脑刺激治疗肌张力障碍
Mov Disord. 2006 May;21(5):692-5. doi: 10.1002/mds.20767.
8
Risk factors for hemorrhage during microelectrode-guided deep brain stimulator implantation for movement disorders.用于运动障碍的微电极引导深部脑刺激器植入术中出血的危险因素。
Neurosurgery. 2005 Apr;56(4):722-32; discussion 722-32. doi: 10.1227/01.neu.0000156473.57196.7e.
9
Dexmedetomidine in awake craniotomy: a technical note.右美托咪定用于清醒开颅手术:技术要点
Surg Neurol. 2005 Feb;63(2):114-6; discussion 116-7. doi: 10.1016/j.surneu.2004.02.029.
10
Dexmedetomidine pharmacodynamics: part I: crossover comparison of the respiratory effects of dexmedetomidine and remifentanil in healthy volunteers.右美托咪定的药效学:第一部分:右美托咪定与瑞芬太尼对健康志愿者呼吸作用的交叉比较。
Anesthesiology. 2004 Nov;101(5):1066-76. doi: 10.1097/00000542-200411000-00005.