Debout J
Anesth Analg (Paris). 1980;37(3-4):169-71.
Our first care when anesthetizing a child having a head injury treated by neurosurgery is to preserve a correct blood perfusion pressure, by using anesthetic agents without vasodilator potency and to control cerebral oedema. The most suitable anesthetic agents are thiopentone, dextromoramide or fentanyl, diazepam and pancuronium. Artificial ventilation is used nearly systematically trying to obtain mild hypocapnia (PaCO2:30-35 Hg pH 7.45) inducing a benefic cerebral vasoconstriction. About the antiedematous agents, mannitol gives best results in case of emergency.
当麻醉接受神经外科治疗的头部受伤儿童时，我们首先要做的是，通过使用无血管扩张作用的麻醉剂来维持正确的血液灌注压，并控制脑水肿。最合适的麻醉剂是硫喷妥钠、右吗拉胺或芬太尼、地西泮和泮库溴铵。几乎总是采用人工通气，试图实现轻度低碳酸血症（动脉血二氧化碳分压：30 - 35 mmHg，pH值7.45），从而引起有益的脑血管收缩。关于抗水肿药物，甘露醇在紧急情况下效果最佳。
