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因苏醒期躁动导致先前手术失败3个月后,成功实施清醒小儿神经外科手术:病例报告

A successful awake pediatric neurosurgery procedure following, 3 months after, a previous failure due to an emergence agitation: a case report.

作者信息

Bapteste Lionel, Marchal Magali, Szostek Anne-Sarah, Guenot Marc, Beuriat Pierre-Aurélien

机构信息

Department of Anesthesia, Hospices Civils de Lyon, Lyon, France.

Anesthesia and Intensive Care Department, Pierre Wertheimer Hospital, 59 Boulevard Pinel, 69500, Bron, France.

出版信息

Childs Nerv Syst. 2023 May;39(5):1353-1356. doi: 10.1007/s00381-023-05840-4. Epub 2023 Jan 25.

Abstract

Awake neurosurgery in children may sometimes require conversion to general anesthesia. We present here the case of a first failed awake procedure for epilepsy surgery. After adapting the anesthesia protocol (sedation + hypnosis) and acceptance by the patient, the surgeons operated the child in good conditions a few months later. We believe that it is possible to retry awake neurosurgery after a first failure if its analysis showed modifiable causes.

摘要

儿童清醒开颅手术有时可能需要转为全身麻醉。我们在此介绍一例癫痫手术首次清醒手术失败的病例。在调整麻醉方案(镇静+催眠)并获得患者同意后,几个月后外科医生在良好的条件下为患儿进行了手术。我们认为,如果首次失败的分析显示存在可修改的原因,那么在首次失败后可以再次尝试清醒开颅手术。

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