Rath Girija Prasad, Dash Hari H
Department of Neuroanaesthesiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Indian J Anaesth. 2012 Sep;56(5):502-10. doi: 10.4103/0019-5049.103979.
Recent advances in neurosurgery, neuromonitoring and neurointensive care have dramatically improved the outcome in patients affected by surgical lesions of central nervous system (CNS). Although most of these techniques were applied first in the adult population, paediatric patients present a set of inherent challenges because of their developing and maturing neurological and physiological status, apart from the CNS disease process. To provide optimal neuroanaesthesia care, the anaesthesiologist must have the knowledge of basic neurophysiology of developing brain and effects of various drugs on cerebral haemodynamics apart from the specialised training on paediatric neuroanaesthesia. This article highlights on the perioperative management of paediatric neurosurgical patients.
神经外科、神经监测和神经重症监护领域的最新进展显著改善了中枢神经系统（CNS）手术性病变患者的治疗效果。尽管这些技术大多首先应用于成人患者，但由于小儿患者除了患有中枢神经系统疾病外，其神经和生理状态正处于发育和成熟阶段，因此面临一系列内在挑战。为了提供最佳的神经麻醉护理，麻醉医生除了要接受小儿神经麻醉的专业培训外，还必须了解发育中大脑的基本神经生理学以及各种药物对脑血流动力学的影响。本文重点介绍小儿神经外科患者的围手术期管理。
