Tobias J D
Division of Pediatric Critical Care/Anesthesia, University of Missouri, Columbia, MO 65212, USA.
Semin Laparosc Surg. 1998 Mar;5(1):60-6. doi: 10.1177/155335069800500111.
As experience, equipment, and techniques have improved, minimally invasive surgery is being applied to increasingly younger children. With the advent of this new surgical approach, there are also specific modifications necessary in anesthetic technique. When considering the anesthetic implications in these patients, one must consider both the patient's underlying health status as well as physiological derangements induced by the surgery. This article describes the specific anesthetic implications for laparoscopic procedures in neonates, infants, and children. This information includes the preoperative evaluation, intraoperative anesthetic care, and monitoring with a special emphasis on the physiological alterations induced by the endoscopic procedures.
随着经验、设备和技术的不断进步，微创手术正越来越多地应用于年龄更小的儿童。随着这种新手术方式的出现，麻醉技术也需要进行特定的调整。在考虑这些患者的麻醉问题时，必须兼顾患者的基础健康状况以及手术所引发的生理紊乱。本文描述了新生儿、婴儿和儿童腹腔镜手术的具体麻醉要点。这些信息包括术前评估、术中麻醉护理以及监测，特别强调了内镜手术所引起的生理变化。
