Wong Grace L S, Morton Neil S
Department of Anesthesia, Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.
Paediatr Anaesth. 2011 May;21(5):560-6. doi: 10.1111/j.1460-9592.2011.03565.x. Epub 2011 Mar 14.
Although inhalational anesthesia with moderate- to high-dose opioid analgesia has been the mainstay of pediatric cardiac anesthesia, the availability of new short-acting drugs, new concepts in pharmacokinetic modeling and computer technology, and advances in surgery and perfusion have made total intravenous anesthesia (TIVA) an attractive option. In this article, we review some of the TIVA techniques used in pediatric cardiac anesthesia.
尽管吸入麻醉联合中高剂量阿片类镇痛药一直是小儿心脏麻醉的主要方法,但新型短效药物的出现、药代动力学建模和计算机技术的新概念,以及外科手术和体外循环技术的进步,使得全静脉麻醉(TIVA)成为一个有吸引力的选择。在本文中,我们回顾了小儿心脏麻醉中使用的一些TIVA技术。