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非常不稳定条件下的麻醉与手术。临床案例。

Anesthesia and surgery in very precarious conditions. Clinical cases.

机构信息

Centre Hospitalier Mère-enfant Hospital Monkole, Kinshasa, Democratic Republic of the Congo.

Centre Hospitalier Mère-enfant Hospital Monkole, Kinshasa, Democratic Republic of the Congo.

出版信息

Rev Esp Anestesiol Reanim (Engl Ed). 2022 May;69(5):302-305. doi: 10.1016/j.redare.2022.05.002. Epub 2022 May 27.

DOI:10.1016/j.redare.2022.05.002
PMID:35637158
Abstract

We performed herniorrhaphy on 21 children (4 of them infants) and 3 adults, in very precarious conditions, in a hospital in a economically depressed area of the Democratic Republic of Congo. Anesthesia technique used in adults was subarachnoid and intravenous and intramuscular ketamine in children. Ketamine is an irreplaceable anesthetic in many parts of the world without resources, where the minimum safety means are not available. Knowing the simple anesthetic techniques, but with less risk, can also be useful in resourceful places, in unexpected situations. Greater solidarity is needed, both from anesthesia societies and from anesthesiologists, to alleviate the great deficiencies in well-trained professionals and means in places without resources.

摘要

我们在刚果民主共和国经济贫困地区的一家医院,为 21 名儿童(其中 4 名为婴儿)和 3 名成人进行了疝修补术,手术条件非常危险。为成人使用的麻醉技术是蛛网膜下腔和静脉及肌肉注射氯胺酮,在资源匮乏的世界上许多地方,氯胺酮是一种不可或缺的麻醉剂,那里甚至连最基本的安全措施都无法提供。了解这些简单的麻醉技术,但风险更小,在资源丰富的地方,在意外情况下,也可能会有所帮助。麻醉学会和麻醉师需要更加团结,为资源匮乏地区提供缺乏训练有素的专业人员和手段的问题提供帮助。

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