儿童深部麻醉下拔管的研究进展

Ruyue Mu, Yi-sa Shi
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引用次数: 0

摘要

随着小儿手术数量的增加,小儿全麻气管插管增多,拔管相关并发症增多。因此,气管拔管时机的选择越来越受到麻醉医师的关注。如何在安全的前提下,让患儿在更舒适的环境中醒来,是儿科麻醉师所追求的目标。大量临床研究证实,深度麻醉下气管拔管可以减少呼吸系统并发症,缓解麻醉恢复期的血流动力学波动,减少拔管后患儿躁动,使患儿在麻醉恢复期以更舒适的状态生存。本文就深度麻醉拔管对机体的影响、拔管方法、药物及局限性作一综述。关键词:小儿麻醉;深度麻醉;拔管
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Research progresses in tracheal extubation under deep anesthesia in children
With the increasing number of pediatric surgeries, pediatric tracheal intubation under general anesthesia increases, and the complications associated with extubation increase. Therefore, the choice of timing of tracheal extubation is increasingly con-cerned by anesthesiologists. How to wake up children in a more comfortable environment under the premise of safety is the goal pur-sued by pediatric anesthesiologists. A large number of clinical studies have confirmed that tracheal extubation under deep anesthesia can reduce respiratory complications, relieve hemodynamic fluctuations and decline child agitation after extubation in the anesthesia re-covery period, and enable children to survive the recovery period of anesthesia in a more comfortable state. This article reviews the ef-fects of deep anesthesia extubation on the body, methods of extubation, medication, and limitations. Key words: Pediatric anesthesia; Deep anesthesia; Extubation
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