Hain W R, Tomlinson J H, Barbor P R
J R Soc Med. 1985 Sep;78(9):715-20. doi: 10.1177/014107688507800905.
Minor invasive procedures in children with leukaemia can be very distressing for patients, parents and staff. In Nottingham a combined clinic has been established with an anaesthetist as an integral member of the team. General anaesthesia, usually by inhalation, is frequently employed. From May 1980 to September 1984, 515 anaesthetics were given to 97 patients. Records are kept to allow analysis of the clinic's function. With close personal contact, induction of anaesthesia becomes increasingly a matter of cooperation between patient and anaesthetist, removing much of the fear of these procedures. The development of this service is described and the reasons for its success are discussed.
对于白血病患儿而言，小型侵入性手术可能会让患者、家长及医护人员都倍感痛苦。在诺丁汉，已设立了一个联合诊所，一名麻醉师是团队的重要成员。通常采用吸入式全身麻醉。从1980年5月至1984年9月，共为97名患者实施了515次麻醉。保留记录以便对诊所的运作进行分析。通过密切的个人接触，麻醉诱导越来越成为患者与麻醉师之间的合作事项，消除了对这些手术的许多恐惧。本文描述了这项服务的发展情况，并探讨了其成功的原因。
