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儿科神经麻醉实践的进展。

Advances in pediatric neuroanesthesia practices.

机构信息

Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, USA.

Boston Children's Hospital, Harvard Medical School, USA.

出版信息

Best Pract Res Clin Anaesthesiol. 2024 Jun;38(2):127-134. doi: 10.1016/j.bpa.2024.04.005. Epub 2024 Apr 26.

DOI:10.1016/j.bpa.2024.04.005
PMID:39445558
Abstract

The field of pediatric neuroanesthesia has evolved with concurrent changes in pediatric neurosurgical practice. Ongoing pediatric neuroanesthesia investigations provide novel insights into developmental cerebrovascular physiology, neurosurgical technology, and clinical outcomes. Minimally invasive neurosurgical procedures appear to be associated with lower complication rates and length of stay. This review will discuss blood sparing techniques, regional anesthesia, and postoperative disposition. Collectively, these innovations appear to be safe in pediatric neurosurgical patients with potential benefits, but more data is needed for more definitive long-term outcomes.

摘要

小儿神经麻醉领域随着小儿神经外科学实践的变化而发展。正在进行的小儿神经麻醉研究为发育性脑血管生理学、神经外科技术和临床结果提供了新的见解。微创神经外科手术似乎与较低的并发症发生率和住院时间有关。这篇综述将讨论血液节约技术、区域麻醉和术后处置。总的来说，这些创新在小儿神经外科患者中似乎是安全的，具有潜在的益处，但需要更多的数据来获得更明确的长期结果。

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1
Advances in pediatric neuroanesthesia practices.儿科神经麻醉实践的进展。
Best Pract Res Clin Anaesthesiol. 2024 Jun;38(2):127-134. doi: 10.1016/j.bpa.2024.04.005. Epub 2024 Apr 26.
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