新生儿及婴儿肺部手术的麻醉管理
Anesthetic management of pulmonary surgery in newborns and infants.
作者信息
Caruselli Marco, Galvagni Daniele, Boubnova Julia, Michel Fabrice
机构信息
Anesthesia and Intensive Care Unit, La Timone Children's Hospital, AP-HM, Marseille.
Diaphragmatic Hernias Reference Center, Pediatric Visceral Surgery Unit, La Timone Children's Hospital, AP-HM, Marseille.
出版信息
Pediatr Rep. 2020 Aug 6;12(2):8595. doi: 10.4081/pr.2020.8595.
The main congenital pulmonary airways malformations in newborns and infants requiring surgery are cystic adenoid malformation, congenital lobar emphysema and bronchogenic cyst. The surgical treatment preferably via thoracoscopy is recommended within the first year of life to avoid the risk of pneumopathy. A monopulmonary ventilation is then required by the surgeon to operate the diseased lung. The anesthetic management of intraoperative mono-pulmonary ventilation in newborns and infants is always challenging for the anesthesiologist. The main objective of this study was to describe anesthetic protocol for thoracoscopy and variations of monitored parameters during a mono-pulmonary ventilation procedure in newborns and infants.
新生儿和婴儿中需要手术治疗的主要先天性肺气道畸形包括囊性腺瘤样畸形、先天性肺叶气肿和支气管囊肿。建议在出生后第一年内通过胸腔镜进行手术治疗，以避免发生肺病的风险。手术时外科医生需要进行单肺通气以操作患病的肺脏。对麻醉医生来说，新生儿和婴儿术中单肺通气的麻醉管理始终具有挑战性。本研究的主要目的是描述新生儿和婴儿胸腔镜手术的麻醉方案以及单肺通气过程中监测参数的变化。
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