Equipment and monitoring in paediatric anaesthesia

IF 0.2 Q4 ANESTHESIOLOGY
Dannie Seddon, Monique McLeod
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引用次数: 0

Abstract

Advances in paediatric anaesthetic equipment and monitoring continue to be made. While the mainstay of airway intubating equipment currently is the direct laryngoscope, videolaryngoscopes and endoscopes are increasing in their use. These continue to evolve, generating better quality pictures, with more sophisticated yet easier to use equipment. Vascular access in paediatric anaesthesia can be challenging. Ultrasound has become an integral piece of equipment in the management of these children with difficult access. As the population increases in weight, so the management of the obese child is now a reality. This requires thought and careful planning of their perioperative care. Newer techniques such as high flow nasal oxygen are useful both to prevent hypoxia at induction, but also to facilitate surgery. Total intravenous anaesthesia will be discussed with reference to paediatric algorithms and equipment. Neurological monitoring in the form of near-infrared spectroscopy and depth of anaesthesia monitoring are discussed with evidence relevant to paediatric practice.

儿科麻醉的设备和监测
儿科麻醉设备和监护技术不断进步。虽然目前气道插管设备的主流是直接喉镜,但视频喉镜和内窥镜的使用也在不断增加。这些设备不断发展,图像质量更高,设备更先进但使用更简便。儿科麻醉中的血管通路具有挑战性。超声已成为管理这些难以进入血管的儿童不可或缺的设备。随着人口体重的增加,肥胖儿童的管理已成为现实。这就需要对他们的围手术期护理进行深思熟虑和精心策划。高流量鼻氧等新技术不仅可以防止诱导时的缺氧,还能促进手术的进行。全静脉麻醉将参照儿科的算法和设备进行讨论。讨论了近红外光谱形式的神经监测和麻醉深度监测,并提供了与儿科实践相关的证据。
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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
152
期刊介绍: Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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