Becke Karin
Abteilung für Anästhesie und Intensivmedizin, Klinik Hallerwiese/Cnopf'sche Kinderklinik, Diakonie Neuendettelsau, Nürnberg, Germany.
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2014 Dec 1;13:Doc04. doi: 10.3205/cto000107. eCollection 2014.
ORL procedures are the most common operations in children - an optimal anesthetic management provides an uncomplicated, safe perioperative process with as little discomfort for the child as possible. Children at risk must already be identified preoperatively: the combination of ORL surgery, airway susceptibility and age below 3 years can increase the risk of perioperative respiratory adverse events. Postoperatively, it is important to prevent complications such as pain and PONV by dedicated prevention and treatment strategies, as well as to recognize and treat respiratory or circulatory complications competently. Interdisciplinary guidelines and agreements as well as the overall competence of the team have the potential to improve patient safety and outcome in children.
耳鼻喉科手术是儿童最常见的手术——最佳的麻醉管理可提供一个简单、安全的围手术期过程,并使儿童尽可能少地感到不适。术前必须识别有风险的儿童:耳鼻喉科手术、气道易感性和3岁以下年龄的综合因素会增加围手术期呼吸不良事件的风险。术后,通过专门的预防和治疗策略预防疼痛和术后恶心呕吐等并发症,以及妥善识别和治疗呼吸或循环并发症非常重要。跨学科指南和协议以及团队的整体能力有可能提高儿童患者的安全性和治疗效果。