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儿科患者的门诊麻醉:综述

Outpatient anesthesia in the pediatric patient: a review.

作者信息

Wong A P, Jahr J S

机构信息

Tulane University School of Medicine, New Orleans.

出版信息

J La State Med Soc. 1993 Jun;145(6):271-3.

PMID:8340693
Abstract

Outpatient or ambulatory surgery has become one of the fastest growing subspecialties. The practice of outpatient pediatric surgery has numerous advantages. One of the main advantages is the shortened length of time the child is hospitalized. Careful selection of pediatric patients for outpatient surgical procedures is the best way to avoid problems and complications. The most anxiety producing aspect of the operation itself, that of parent separation, is also lessened by outpatient pediatric surgery. Preoperative evaluation and assessment is just as crucial in outpatient surgery as in all other surgical procedures. It is even more important in outpatient pediatric surgery to establish rapport with the parent and child and get a sense of the psychological needs of the patient. Pediatric outpatient surgery is still a relatively new subspecialty and from an anesthetic standpoint, the preoperative assessment is the anesthesiologist's main tool in getting to know his or her patient.

摘要

门诊手术或非住院手术已成为发展最快的亚专业之一。小儿门诊手术有诸多优势。主要优势之一是缩短了患儿的住院时间。仔细挑选适合门诊手术的小儿患者是避免问题和并发症的最佳方法。小儿门诊手术还减少了手术本身最令人焦虑的方面,即与父母分离。术前评估在门诊手术中与在所有其他外科手术中一样至关重要。在小儿门诊手术中,与患儿及其父母建立融洽关系并了解患者的心理需求更为重要。小儿门诊手术仍是一个相对较新的亚专业,从麻醉角度来看,术前评估是麻醉医生了解患者的主要工具。

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