谵妄——儿童手术后麻醉的影响

Y. Marantika
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引用次数: 0

摘要

麻醉谵妄是儿童普遍存在的一种临床现象。虽然病理生理尚不清楚,但似乎与一些因素有关,如未知环境下的快速觉醒、麻醉诱导时的躁动、术前焦虑、环境障碍、麻醉前用药、吸入性麻醉剂等。关于儿童出现谵妄的问题和影响仍未得到解答。虽然我们知道有一些诱发出现性谵妄的因素,但我们仍然不能准确地识别那些风险最大的因素。紧急谵妄应被认为是一个“生命体征”,在麻醉后恢复期,每个孩子都应该跟踪并记录。儿科急诊谵妄(ED)应采用哪些标准化筛查工具?
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Delirium-The Effect off Children Anesthesiology after Surgery
Delirium of anesthesiology is a clinical phenomenon widespread in children. Although the pathophysiology is still uncertain, some factors seem to be involved, such as rapid awakening in an unknown environment, agitation during anesthetic induction, preoperative anxiety, environmental disorders, pre-anesthetic medication, and inhalational anesthetics. There remain unanswered questions and implications related to the emergence of delirium in children. Although we know that there are some predisposing factors to emergence delirium, we still cannot accurately identify those  at most significant risk. Emergent delirium should be considered a ‘vital sign,’ which should be followed and documented in every child in the postanaesthesia recovery period. What should adopt standardized screening tools for pediatric emergence delirium(ED).  
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