小儿麻醉学的最新进展。
Recent advances in paediatric anaesthesia.
作者信息
Rai Ekta, Naik Vibhavari, Singariya Geeta, Bathla Sapna, Sharma Ridhima, Pani Nibedita
机构信息
Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Oncoanaesthesiology, Pain and Palliative Care, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Telangana, India.
出版信息
Indian J Anaesth. 2023 Jan;67(1):27-31. doi: 10.4103/ija.ija_973_22. Epub 2023 Jan 21.
Recent development in science has led to a significant improvement in safety for the anaesthetic management of children. Enhanced recovery after surgery is one of the novel approaches aiming to enhance paediatric surgical outcomes and their quick recovery. Preoperative counselling, minimal fasting, and no routine pharmacological premedication are critical components of enhanced recovery after surgery. As anaesthetists, management of airway is our priority and introduction of paraoxygenation in addition to preoxygenation has resulted in reduction in desaturation episodes during periods of apnoea. Safe care has been made possible by improvements in monitoring, equipment, medications, techniques, and resuscitation protocols. We are motivated to collect more evidence regarding ongoing disputes and issues, such as the effect of anaesthesia on neurodevelopment.
科学领域的最新进展已使儿童麻醉管理的安全性得到显著提高。术后加速康复是旨在改善小儿外科手术效果及其快速康复的新方法之一。术前咨询、最短禁食时间以及不进行常规药物术前用药是术后加速康复的关键组成部分。作为麻醉医生，气道管理是我们的首要任务，除了预充氧之外引入辅助充氧已减少了呼吸暂停期间的去饱和事件。监测、设备、药物、技术和复苏方案的改进使安全护理成为可能。我们有动力收集更多关于持续争议和问题的证据，比如麻醉对神经发育的影响。
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