Zuckerberg A L
Department of Anesthesia and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, Maryland.
Pediatr Clin North Am. 1994 Feb;41(1):15-29. doi: 10.1016/s0031-3955(16)38689-8.
There has been a tremendous amount of progress in the perioperative approach to the child since Levy wrote "Psychic trauma of operations in children and a note on combat neurosis" nearly 50 years ago. Recognition of prolonged behavioral derangements following the anesthetic-surgical-hospital experience and the prominent role that the parent and physician play in modifying these have dramatically changed the contemporary pediatric perioperative care. Of paramount importance is the psychological preparation of family and child. With increasing outpatient or same-day admission surgery and free-standing surgical centers, preoperative preparation will, of necessity, increasingly become the responsibility of the pediatrician.
自从近50年前利维撰写了《儿童手术的精神创伤及关于战斗神经症的一则笔记》以来，儿童围手术期的处理方法已经取得了巨大进展。认识到麻醉-手术-住院经历后长期的行为紊乱，以及家长和医生在改变这些紊乱方面所起的重要作用，已经极大地改变了当代儿科围手术期护理。家庭和儿童的心理准备至关重要。随着门诊手术或当日入院手术以及独立手术中心的增加，术前准备将必然越来越成为儿科医生的责任。
