Dangel P
Klin Monbl Augenheilkd. 1977 Feb;170(2):337-40.
The progress of understanding the special physiology and pathology of the small child, as well as the perfection of the technical equipment for pediatric anesthesia are responsible for the fact that today practically every child even during very difficult surgical interventions can be kept with security in general anesthesia. A survey of the problems occuring in pediatric anesthesia includes the following items: preoperative examination, preparation for anesthesia and surgical intervention, techniques of anesthesia, special dangers for the newborn and small children (fluid ratio, decrease of body temperature, hypoglycemia) and postoperative treatment. The author comes to the conclusion that the best conditions for general anesthesia of the small child are only present in a children's hospital where the necessary infrastructure is available. The pediatric anesthesist strongly wish therefore that also the specialists like the ophthalmologist make use of the specialised children's hospital for operative purposes.
对小儿特殊生理和病理的认识进展,以及小儿麻醉技术设备的完善,使得如今实际上每个孩子即使在非常困难的外科手术中也能安全地处于全身麻醉状态。小儿麻醉中出现的问题调查包括以下项目:术前检查、麻醉和手术干预准备、麻醉技术、新生儿和小儿的特殊危险(液体平衡、体温下降、低血糖)以及术后治疗。作者得出结论,小儿全身麻醉的最佳条件仅存在于具备必要基础设施的儿童医院。因此,小儿麻醉医生强烈希望眼科医生等专科医生也能利用专科医院进行手术。