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[儿童血流动力学和脑灌注的控制——应使用哪种监测方法?]

[Control of hemodynamic and cerebral perfusion in children - which monitoring should be used?].

作者信息

Höhne Claudia

机构信息

Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Leipzig.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2016 Sep;51(9):536-9. doi: 10.1055/s-0041-103632. Epub 2016 Sep 15.

Abstract

Options for hemodynamic and cerebral perfusion monitoring in pediatric anesthesia are limited, but it should be used to reduce the potential damage due to hypotension and reduced cerebral perfusion. Non-invasive blood pressure measurement should be used in all cases of pediatric anesthesia and near-infrared spectroscopy for risk pediatric patients. In former times measurement of non-invasive blood pressure had no priority, this is not state of the art based on current data.

摘要

小儿麻醉中血流动力学和脑灌注监测的选择有限,但应使用这些监测来减少因低血压和脑灌注减少造成的潜在损害。在所有小儿麻醉病例中均应使用无创血压测量,对于有风险的小儿患者应使用近红外光谱法。过去,无创血压测量并不受重视,但根据目前的数据,这已不符合当前的技术水平。

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