Seattle Children's Hospital, University of Washington, Washington, USA.
Curr Opin Anaesthesiol. 2012 Aug;25(4):498-500. doi: 10.1097/ACO.0b013e32835583d7.
Pediatric dermatologic procedures performed outside of the operating room are often painful and frequently require general anesthesia. Laser procedures constitute a relatively small but significant group of the growing number of these encounters. This article reviews relevant dermatological pathophysiology, current treatment modalities and collates currently available evidence to inform the best practice in anesthetic care of these patients.
There is a paucity of recently published data pertaining to this group; most earlier studies were reported in the dermatological literature and may not be familiar to anesthesiologists. One very large study has reported on the safety of various anesthetic techniques in similar out-of-operating room circumstances.
Anesthesiologists are increasingly providing care for children undergoing dermatologic out-of-operating room procedures. Similar general considerations for out-of-operating room anesthesia equally apply to children undergoing these procedures. There are few recently reported data pertaining to this patient population and further work is needed.
儿科皮肤科手术常在手术室外进行，往往较为疼痛，且常需全身麻醉。激光手术是数量不断增加的这类手术中相对较小但却非常重要的一类。本文综述了相关的皮肤科病理生理学、当前的治疗方法，并整理了目前可获得的证据，为这类患者的最佳麻醉护理提供信息。
这组患者的近期发表数据较少；大多数早期研究发表在皮肤科文献中，可能不为麻醉师所熟悉。一项非常大型的研究报告了在类似的手术室外环境中各种麻醉技术的安全性。
麻醉师越来越多地为接受皮肤科手术室外手术的儿童提供护理。在这些手术中，为儿童提供手术室外麻醉的一般注意事项相似。关于这类患者人群的最新报道数据较少，需要进一步研究。
