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[小儿麻醉中的并发症]

[Complications in pediatric anesthesia].

作者信息

Becke K

机构信息

Abteilung für Anästhesie und Intensivmedizin, Klinik Hallerwiese/Cnopf'sche Kinderklinik, Diakonie Neuendettelsau, St. Johannis-Mühlgasse 19, 90419, Nürnberg, Deutschland,

出版信息

Anaesthesist. 2014 Jul;63(7):548-54. doi: 10.1007/s00101-014-2357-0.

Abstract

As in adult anesthesia, morbidity and mortality could be significantly reduced in pediatric anesthesia in recent decades. This fact cannot conceal the fact that the incidence of anesthetic complications in children is still much more common than in adults and sometimes with a severe outcome. Newborns and infants in particular but also children with emergency interventions and severe comorbidities are at increased risk of potential complications. Typical complications in pediatric anesthesia are respiratory problems, medication errors, difficulties with the intravenous puncture and pulmonal aspiration. In the postoperative setting, nausea and vomiting, pain, and emergence delirium can be mentioned as typical complications. In addition to the systematic prevention of complications in pediatric anesthesia, it is important to quickly recognize disturbances of homeostasis and treat them promptly and appropriately. In addition to the expertise of the performing anesthesia team, the institutional structure in particular can improve quality and safety in pediatric anesthesia.

摘要

与成人麻醉一样,近几十年来小儿麻醉中的发病率和死亡率也能显著降低。但这一事实并不能掩盖儿童麻醉并发症的发生率仍比成人高得多,且有时会导致严重后果这一事实。尤其是新生儿和婴儿,还有接受急诊手术和患有严重合并症的儿童,发生潜在并发症的风险更高。小儿麻醉中的典型并发症包括呼吸问题、用药错误、静脉穿刺困难和肺误吸。在术后阶段,恶心、呕吐、疼痛和苏醒期谵妄可被视为典型并发症。除了系统预防小儿麻醉中的并发症外,快速识别内环境稳态紊乱并及时、恰当地进行治疗也很重要。除了实施麻醉团队的专业技能外,机构结构尤其能够提高小儿麻醉的质量和安全性。

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