Sauer H, Pfeifer J, Gräber S, Abdul-Khaliq H
Pediatric Cardiology, University Hospital of Saarland, Homburg, Germany.
Institut für Medizinische Biometrie, Epidemiologie und Medizinische Informatik, Universtität des Saarlandes, Homburg, Germany.
Klin Padiatr. 2017 Jan;229(1):40-45. doi: 10.1055/s-0042-120119. Epub 2017 Feb 1.
Most pediatric patients require deep sedation for a TEE examination. We analyzed the data of our sedation protocols relating to all outpatient TEEs in patients under 18 years of age for the year 2011. On the basis of the data records of a total of 40 patients, we will describe our standard and compare it with the findings of the international literature. In a retrospective analysis, we inspected our sedation protocols in terms of patient-related data, vital parameters, drug applications, occurring complications and necessary interventions as well as nausea and vomiting during the post-sedative monitoring phase. In line with our standard, we applied atropine, midazolam, S-ketamine and propofol; complications occurred in 5 patients. They could be handled using simple measures. With regard to the vital parameters, no severe complications occurred. Dizziness was observed in 4 patients during the recovery phase; one patient complained about nausea and vomiting during the first fluid intake. All patients could be discharged 4 h after the termination of sedation. Our standard is a practicable and safe procedure for preforming TEE examinations in pediatric outpatients.
大多数儿科患者在进行经食管超声心动图（TEE）检查时需要深度镇静。我们分析了2011年所有18岁以下门诊患者TEE检查的镇静方案数据。基于总共40例患者的数据记录，我们将描述我们的标准，并将其与国际文献的研究结果进行比较。在一项回顾性分析中，我们从患者相关数据、生命体征参数、药物应用、出现的并发症和必要的干预措施以及镇静后监测阶段的恶心和呕吐等方面检查了我们的镇静方案。按照我们的标准，我们使用了阿托品、咪达唑仑、S-氯胺酮和丙泊酚；5例患者出现了并发症。这些并发症可以通过简单的措施进行处理。关于生命体征参数，未发生严重并发症。4例患者在恢复阶段出现头晕；1例患者在首次饮水时抱怨恶心和呕吐。所有患者在镇静结束后4小时均可出院。我们的标准是在儿科门诊患者中进行TEE检查的一种可行且安全的方法。
