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婴幼儿脊髓麻醉中的错误陷阱。

Error Traps in Infant Spinal Anesthesia.

作者信息

Froyshteter Alexander B, Lazar Alina, Holman Ashlee E, Frawley Geoff, Whitaker Emmett E

机构信息

Department of Anesthesiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.

Department of Anesthesiology, C. S. Mott Children's Hospital, University of Michigan Medicine, Ann Arbor, Michigan, USA.

出版信息

Paediatr Anaesth. 2025 Aug;35(8):598-606. doi: 10.1111/pan.15132. Epub 2025 May 30.

Abstract

Infant spinal anesthesia is a viable alternative to general anesthesia for short procedures below the upper abdomen. It provides a hemodynamically stable anesthetic technique that avoids airway manipulation and associated respiratory complications. Spinal anesthesia allows surgery to be performed without inhaled anesthetic agents or, in certain cases, opioids. This manuscript highlights five preventable perioperative error traps that may occur while performing infant spinal anesthesia with the goal of providing expert clinical guidance for the provision of safe, effective, and efficient spinal anesthesia in pediatric patients.

摘要

对于上腹部以下的短时间手术,婴儿脊髓麻醉是全身麻醉的一种可行替代方案。它提供了一种血流动力学稳定的麻醉技术,避免了气道操作及相关的呼吸并发症。脊髓麻醉允许在不使用吸入麻醉剂的情况下进行手术,在某些情况下也无需使用阿片类药物。本文着重介绍了在实施婴儿脊髓麻醉时可能出现的五个可预防的围手术期错误陷阱,目的是为儿科患者提供安全、有效且高效的脊髓麻醉提供专业临床指导。

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