Tobias J D, Lowe S, O'Dell N, Pietsch J B, Neblett W W
Department of Anesthesiology, Vanderbilt University, Nashville, Tennessee 37232.
Can J Anaesth. 1993 Nov;40(11):1065-8. doi: 10.1007/BF03009478.
Physiological immaturity of the respiratory musculature and central respiratory control centres leads to an increased risk of apnoea and respiratory complications following general anaesthesia in neonates. Regional anaesthetic techniques may obviate the need for general anaesthesia and lessen the risks of perioperative morbidity. Although these techniques have been described in infants, previous reports have dealt with single-shot techniques for brief surgical procedures (< 60 min). Experience with prolonged operative cases using regional anaesthesia via indwelling catheters in infants is limited. We present our experience with four infants in whom either caudal epidural or spinal anaesthesia was administered via indwelling catheters for operative procedures that lasted 90 to 180 min. We believe this technique is an alternative to general anaesthesia in these patients.
呼吸肌肉组织和中枢呼吸控制中心的生理不成熟导致新生儿全身麻醉后呼吸暂停和呼吸并发症的风险增加。区域麻醉技术可能无需全身麻醉，并降低围手术期发病风险。尽管这些技术已在婴儿中有所描述，但先前的报告涉及的是用于简短外科手术（<60分钟）的单次注射技术。婴儿通过留置导管进行长时间区域麻醉手术的经验有限。我们介绍了4例婴儿的经验，这些婴儿通过留置导管接受了骶管硬膜外麻醉或脊髓麻醉，手术持续时间为90至180分钟。我们认为，在这些患者中，该技术可替代全身麻醉。
