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。