[Anesthesia of the newborn weighing less than 2000 g, 100 cases (author's transl)].

Anesthesie, analgesie, reanimation Pub Date : 1981-01-01
O Gaudiche, A M Dubousset, C Estève, M M Delleur
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Abstract

We gave special attention to these very fragile newborns in whom associated pathology was often present. We were faced above all by respiratory and hemodynamic problems. Pre-operative care is essential and must be adapted to the degree of emergency. The newborn must reach the operating room in normothermia, normoxia and in adequate metabolic status. The anaesthesia technique used was always simple with few anaesthesics and ventilation controlled manually and mechanically after intubation. Scrupulous monitoring was always the case. Principal anaesthesic incidents included hypothermia and tachycardia. A precise cause was linked to the 13 accidents encountered. In 8 cases slow decurarisation was noted. Special comments must be made about the premature infant's possibilities versus pharmacocinetic of anesthesics, hemodynamic modification, hyperbi lirubinemia hepatic and renal enzymatic immaturity. Thus we think the anesthesiologist must be specifically trained for the care of these patients.

[体重2000克以下新生儿麻醉100例(作者简介)]。
我们特别关注这些非常脆弱的新生儿,他们经常出现相关病理。我们首先面临的是呼吸和血液动力学问题。术前护理是必要的,必须适应紧急程度。新生儿必须在正常体温、正常缺氧和充分代谢状态下到达手术室。使用的麻醉技术一直是简单的,很少麻醉和通气控制人工和机械插管后。严格的监控总是如此。主要麻醉事件包括体温过低和心动过速。确切的原因与遭遇的13起事故有关。8例出现缓慢去齿化。特别的评论必须对早产儿的可能性与药物动力学麻醉,血流动力学的改变,高胆红素血症肝和肾酶不成熟。因此,我们认为麻醉师必须接受专门的训练来照顾这些病人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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