Otte Andreas, Schindler Ehrenfried, Neumann Claudia
Klinik für Anästhesiologie und operative Intensivmedizin (KAI), Universitätsklinikum Bonn (UKB), Venusberg-Campus 1, 53127, Bonn, Deutschland.
Anaesthesiologie. 2022 Jun;71(6):417-425. doi: 10.1007/s00101-022-01125-8. Epub 2022 May 23.
Perioperative mortality and morbidity in childhood essentially depend on the quality of the anesthesia. The Safe Anesthesia for every Tot (SafeTots) initiative takes this into account and has defined normotension, normovolemia and normal heart rate as quality criteria in pediatric anesthesia. Appropriate monitoring of pediatric hemodynamics is necessary to fulfil these criteria. This article provides an overview of currently used methods and techniques for instrumental and non-instrumental cardiovascular monitoring in children. The current study situation, recommendations and guidelines on the application as well as practical aspects of the measurement methods are explained as far as possible. For a better understanding, procedures not routinely used in clinical practice are described in more detail.
儿童围手术期的死亡率和发病率在很大程度上取决于麻醉质量。“为每个儿童提供安全麻醉”(SafeTots)倡议考虑到了这一点,并将正常血压、正常血容量和正常心率定义为小儿麻醉的质量标准。为满足这些标准,对小儿血流动力学进行适当监测是必要的。本文概述了目前用于儿童有创和无创心血管监测的方法和技术。尽可能解释了当前关于这些测量方法应用的研究情况、建议和指南以及实际操作方面。为了更好地理解,对临床实践中不常用的操作进行了更详细的描述。