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小儿诊断性和治疗性支气管镜检查中的麻醉

Anesthesia in Diagnostic and Therapeutic Pediatric Bronchoscopy.

作者信息

Londino Aldo V, Jagannathan Narasimhan

机构信息

The Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029, USA.

Academic Affairs, Pediatric Anesthesia Research, Department of Pediatric Anesthesiology, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Avenue, Chicago, IL 60611, USA.

出版信息

Otolaryngol Clin North Am. 2019 Dec;52(6):1037-1048. doi: 10.1016/j.otc.2019.08.005. Epub 2019 Sep 11.

Abstract

Airway endoscopy (rigid and flexible bronchoscopy) is an important procedure that allows for visualization of the trachea and bronchi as well as treatment of a variety of airway disorders for diagnostic and therapeutic interventions. Excellent communication between the anesthesiologist and the endoscopist is required to ensure that adequate oxygenation and ventilation is maintained via the shared airway. Various anesthetic and airway management techniques can be used for airway management in pediatric foreign-body aspiration. This article highlights indications, techniques, and complications encountered during pediatric bronchoscopy, with particular focus on anesthetic management of the pediatric airway.

摘要

气道内镜检查(硬质和柔性支气管镜检查)是一项重要的操作,可用于观察气管和支气管,并治疗各种气道疾病以进行诊断和治疗干预。麻醉医生和内镜医生之间需要进行良好的沟通,以确保通过共享气道维持充足的氧合和通气。在小儿异物吸入的气道管理中,可以使用各种麻醉和气道管理技术。本文重点介绍小儿支气管镜检查的适应证、技术及并发症,尤其关注小儿气道的麻醉管理。

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