Sukhani R
Department of Anesthesiology, Cook County Hospital, Chicago, Illinois.
Clin Perinatol. 1989 Mar;16(1):43-60.
Advances in monitoring technology, the availability of special skill, and training has resulted in the improved perioperative care of the newborn. With the coordinated efforts of pediatric anesthesiologists, pediatric surgeons, and neonatologists, safe anesthesia and surgery have become a reality even in a sick 500-gm premature infant. Fortunately for these nonverbal neonates, the personnel involved in this perioperative care are now more sensitive to their analgesic and anesthetic needs. With adequate preoperative preparation and intraoperative monitoring, safe anesthesia at present can be provided to most critically ill neonates, using the guidelines outlined above. In addition, the postoperative period also can be made pain free for them by a judicious selection of analgesic and local anesthetic drugs.
监测技术的进步、特殊技能的可获得性以及培训使得新生儿围手术期护理得到了改善。在儿科麻醉医生、儿科外科医生和新生儿科医生的共同努力下，即使是体重仅500克的患病早产儿，安全的麻醉和手术也已成为现实。幸运的是，对于这些无法言语的新生儿，参与围手术期护理的人员现在对他们的镇痛和麻醉需求更加敏感。通过充分的术前准备和术中监测，目前可以根据上述指南为大多数危重新生儿提供安全的麻醉。此外，通过明智地选择镇痛和局部麻醉药物，也可以使他们的术后阶段无痛。
