对一名接受枕颈融合术的21三体综合征儿科患者进行脑电双频指数（Narcotrend）引导下的术中护理。
Narcotrend-guided intraoperative care of a Trisomy 21 paediatric patient who underwent occipitocervical fusion.
作者信息
Villa Evangeline Ko, Villa Dominic, Bundoc Rafael C
机构信息
Department of Anesthesiology Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
Department of Anesthesiology Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
出版信息
BMJ Case Rep. 2020 Feb 11;13(2):e231276. doi: 10.1136/bcr-2019-231276.
Abstract
A 9-year-old female with Trisomy 21 with complex craniovertebral instability causing severe cervicomedullary compression underwent occipitocervical fusion. This paper will discuss the anaesthetic management and highlight the use of the Narcotrend monitor not only as a depth of consciousness monitor but more importantly as a tool to detect surgery-induced cerebral hypoperfusion by monitoring the right and left cerebral hemispheres independently and simultaneously.
摘要
一名9岁患有21三体综合征的女性，伴有复杂的颅颈交界区不稳定，导致严重的颈髓压迫，接受了枕颈融合术。本文将讨论麻醉管理，并重点介绍脑电意识深度监测仪（Narcotrend监测仪）的应用，它不仅可作为意识深度监测工具，更重要的是，通过独立同时监测左右脑半球，作为检测手术诱发脑灌注不足的工具。
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