Awake caudals and epidurals should be used more frequently in neonates and infants

被引：21
|
作者：
Marhofer, Peter [1 ]
Keplinger, Maya [1 ]
Klug, Wolfgang [1 ]
Metzelder, Martin L. [2 ]
机构：
[1] Med Univ Vienna, Dept Anaesthesia & Intens Care Med, A-1090 Vienna, Austria
[2] Med Univ Vienna, Dept Paediat Surg, A-1090 Vienna, Austria
来源：
PEDIATRIC ANESTHESIA | 2015年 / 25卷 / 01期
关键词：
infant; anesthesia caudal; anesthesia epidural; ultrasonography; sedation moderate; surgical procedures minimal invasive; INGUINAL-HERNIA REPAIR; GENERAL-ANESTHESIA; LAPAROSCOPIC PYLOROMYOTOMY; ULTRASOUND ASSESSMENT; REGIONAL ANESTHESIA; PYLORIC-STENOSIS; CRANIAL SPREAD; SWOOSH TEST; CHILDREN; PNEUMOPERITONEUM;
D O I：
10.1111/pan.12543
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
The current literature provides fundamental insights regarding the neurotoxic potency of various general anesthetic drugs in neonates and small infants. Therefore, considerations to minimize the use of general anesthetic drugs in this age group are required. The use of caudal and epidural anesthesia under sedation is one possibility to minimize the use of general anesthetic drugs. A large number of surgical procedures can be managed with this anesthetic concept. Training, practical hand skills, good infrastructure, a well-defined indication, and a team approach including the entire operation room staff are the major prerequisites to implement these techniques in the daily clinical practice. This review article discusses all present aspects and possible future evolutions of caudal and epidural anesthesia under sedation.
引用
收藏
页码：93 / 99
页数：7
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