Leister Nicolas, Yücetepe Sirin, Ulrichs Christoph, Hannes Tobias, Trieschmann Uwe
Klinik für Anästhesiologie und Operative Intensivmedizin, Uniklinik Köln, Kerpener Straße 62, 50937, Köln, Deutschland.
Anaesthesist. 2021 Aug;70(8):644-648. doi: 10.1007/s00101-021-00941-8. Epub 2021 Mar 17.
Induction of anesthesia by inhalation is very common in children due to difficult venous conditions and especially in uncooperative children. During the study on complications in the pediatric anesthesia in Europe (APRICOT study) including almost 30,000 patients, 48% of the children were induced by inhalation.Under the conditions of the corona pandemic, however, induction of anesthesia by inhalation represents an increased risk of infection due to the potential release of aerosols. Rapid sequence induction is recommended for anesthesia induction and definitive airway management for adults and children in the current pandemic situation.The present case demonstrates that there can be situations in children in which induction of anesthesia by inhalation is unavoidable and shows a potential procedure for reducing the risk of infection for the anesthesia personnel.
由于儿童静脉条件困难，尤其是不合作的儿童，吸入诱导麻醉在儿童中非常常见。在欧洲进行的一项包括近30000名患者的儿科麻醉并发症研究（APRICOT研究）中，48%的儿童采用吸入诱导麻醉。然而，在新冠疫情期间，由于气溶胶的潜在释放，吸入诱导麻醉会增加感染风险。在当前疫情形势下，建议对成人和儿童进行麻醉诱导和确定性气道管理时采用快速顺序诱导。本病例表明，在儿童中可能存在吸入诱导麻醉不可避免的情况，并展示了一种降低麻醉人员感染风险的潜在方法。
