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麻醉管理

Management of Anaesthesia.

作者信息

Tosi Federica, Genovese Orazio, Jovanovic Tamara, Visocchi Massimiliano

机构信息

Institute of Anaesthesiology and Intensive Care, Catholic University of Rome, Rome, Italy.

Institute of Neurosurgery, Catholic University of Rome, Rome, Italy.

出版信息

Acta Neurochir Suppl. 2019;125:381-386. doi: 10.1007/978-3-319-62515-7_54.

DOI:10.1007/978-3-319-62515-7_54
PMID:30610348
Abstract

Surgical treatment of the craniovertebral junction (CVJ) requires excellent management by the anaesthetist. Patients undergoing this type of surgery have a wide range of concomitant diseases. Therefore, before proceeding to CVJ surgery, it is recommended to analyse the clinical aspects of the patient that could complicate the outcome of the surgical procedure.In this paper we aim to establish what constitutes the best surgical and anaesthesia management of these patients. We consider airway management, trying to identify the gold standard for the patient. We also consider the most appropriate intraoperative approach to guarantee the best management of the patient.

摘要

颅颈交界区(CVJ)的外科治疗需要麻醉师进行出色的管理。接受此类手术的患者伴有多种疾病。因此,在进行CVJ手术之前,建议分析可能使手术结果复杂化的患者临床情况。在本文中,我们旨在确定对这些患者最佳的手术和麻醉管理方法。我们考虑气道管理,试图确定针对患者的金标准。我们还考虑最适当的术中方法以确保对患者的最佳管理。

相似文献

1
Management of Anaesthesia.麻醉管理
Acta Neurochir Suppl. 2019;125:381-386. doi: 10.1007/978-3-319-62515-7_54.
2
Intraoperative Neurophysiological Monitoring for Craniovertebral Junction Surgery.颅颈交界区手术的术中神经生理监测
Acta Neurochir Suppl. 2019;125:369-380. doi: 10.1007/978-3-319-62515-7_53.
3
Airway management in neuroanesthesiology.神经麻醉学中的气道管理
Anesthesiol Clin. 2012 Jun;30(2):229-40. doi: 10.1016/j.anclin.2012.04.001. Epub 2012 Jun 12.
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Anesthetic management and human factors in the intraoperative MRI environment.术中磁共振成像环境下的麻醉管理及人为因素
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[Quicker recovery from elective colon surgery: anaesthesiological aspects of the fast-track programme].[择期结肠手术更快康复:快速康复计划的麻醉学方面]
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Principles of anaesthesia in urological surgery.泌尿外科手术中的麻醉原则。
BJU Int. 2005 Aug;96(2):223-9. doi: 10.1111/j.1464-410X.2005.05664.x.
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Comparing the effects of oral clonidine premedication with intraoperative dexmedetomidine infusion on anesthetic requirement and recovery from anesthesia in patients undergoing major spine surgery.比较口服可乐定术前用药与术中输注右美托咪定对接受脊柱大手术患者的麻醉需求及麻醉恢复的影响。
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[S1 guidelines on airway management].[S1气道管理指南]
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The Elderly Spine Surgery Patient: Pre- and Intraoperative Management of Drug Therapy.老年脊柱手术患者:药物治疗的术前及术中管理
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Acta Neurochir Suppl. 2023;135:291-299. doi: 10.1007/978-3-031-36084-8_45.
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Analysis of percutaneous kyphoplasty under different types of anesthesia for the treatment of multiple osteoporotic vertebral fractures.不同类型麻醉下经皮椎体后凸成形术治疗多发性骨质疏松性椎体骨折的分析。
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