Ramchandra D S, Anisya V, Gourie-Devi M
Department of Neuroanaesthesia, National Institute of Mental Health and Neuro Sciences, Bangalore, India.
Can J Anaesth. 1990 May;37(4 Pt 1):474-6. doi: 10.1007/BF03005630.
The anaesthetic management of children with neuromuscular diseases giving rise to hypotonia is associated with a variety of problems. Ketamine alone was given by the intravenous or intramuscular route to 32 children with Floppy Infant Syndrome for diagnostic muscle biopsy. The patients aged between three months and 12 yr and weighing 3.2 to 28 kg were studied over three years (1986-1988). The special anaesthetic problems are discussed. The use of ketamine dissociative anaesthesia is reviewed with emphasis on congenital neuromuscular disorders.
对患有导致肌张力减退的神经肌肉疾病的儿童进行麻醉管理会带来一系列问题。单独通过静脉或肌肉注射途径给32例患有松软婴儿综合征的儿童使用氯胺酮,以进行诊断性肌肉活检。对年龄在3个月至12岁、体重在3.2至28千克之间的患者进行了为期三年(1986 - 1988年)的研究。讨论了特殊的麻醉问题。重点针对先天性神经肌肉疾病对氯胺酮分离麻醉的使用进行了综述。