Semmelmann Axel, Kaltofen Heike, Loop Torsten
Department of Anesthesiology and Intensive Care Medicine, University Medical Center, Freiburg, Germany.
Paediatr Anaesth. 2018 Apr;28(4):326-331. doi: 10.1111/pan.13350. Epub 2018 Feb 26.
Providing anesthesia in children with thoracic disease is a challenging task. The effects of the underlying disease, the surgical interventions, and preexisting condition of the patient need to be considered when planning perioperative care. The perioperative care for children undergoing thoracic surgery requires specific techniques adapted to the pediatric physiology and anatomy. This review is focused on anesthetic strategies for thoracic surgery with an emphasis on perioperative analgesia including neuraxial techniques.
为患有胸部疾病的儿童提供麻醉是一项具有挑战性的任务。在规划围手术期护理时，需要考虑潜在疾病的影响、手术干预措施以及患者的既往状况。对接受胸外科手术的儿童进行围手术期护理需要采用适应儿科生理和解剖结构的特定技术。本综述重点关注胸外科手术的麻醉策略，尤其强调包括神经轴技术在内的围手术期镇痛。
