Mellor D J, Lerman J
Department of Anesthesia, University of Toronto, and The Hospital for Sick Children, Ontario, Canada.
Semin Perinatol. 1998 Oct;22(5):363-79. doi: 10.1016/s0146-0005(98)80053-0.
In this review of the anesthetic considerations for the neonate who requires anesthesia for emergency surgery, the authors discuss preoperative, intraoperative, and postoperative management from an anesthetic perspective. Monitoring the cardiorespiratory and metabolic status of neonates during anesthesia is usually difficult because the neonate is not physically accessible. Specific monitoring techniques that provide accurate measurements are discussed. General anesthesia is usually required for the surgery, the airway must be secured and anesthesia managed with a combination of inhalational and intravenous agents. Regional anesthesia and opioids may be included to decrease the intraoperative anesthetic requirements and prevent pain in the postoperative period. The pharmacology of specific anesthetic and adjuvant agents are discussed.
在这篇关于需要进行急诊手术麻醉的新生儿麻醉注意事项的综述中，作者从麻醉角度讨论了术前、术中和术后管理。由于新生儿身体难以接近，在麻醉期间监测其心肺和代谢状态通常很困难。文中讨论了能提供准确测量结果的特定监测技术。手术通常需要全身麻醉，必须确保气道安全，并联合使用吸入性和静脉麻醉药进行麻醉管理。可采用区域麻醉和阿片类药物来减少术中麻醉需求并预防术后疼痛。文中还讨论了特定麻醉药和辅助药物的药理学。
