Common Perioperative Concerns in Pediatric Anesthesia: A Literature Review

Wael Waheed Mohamed
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Abstract

There are several disorders that require children to be anesthetized. Sometimes, it is due to the non-cooperation of the children that requires them to be put under sedation for a procedure that is necessary for them, while at other times, it is because of any indicated surgical procedure that they have to go through, that they are put under anesthesia. However, unlike adults, children particularly the pediatric populations have particular demands and requirements that make them special candidates for receiving the required anesthesia. In children, nearly all parameters are different anatomically, physiologically, pharmacologically, and psychologically. According to some recent studies, it has also been noted that there are significant adverse events that are linked with the induction of anesthesia in the pediatric population, that are bound to arise if care is not taken during or after the anesthesia. These problems could arise in lieu of several factors such as the choice of anesthetic, the mode of anesthesia, airway management, and the reversal of anesthesia. In all cases, it is better to avoid the risk of complications and adverse events by making sure that only the most competent and expert of all staff are involved in the anesthesia team. With proper care and management of anesthesia, it is obvious that the risk of any critical events would be comparatively much less and that the children could be operated on easily. This review aims to deal with certain problems that arise in the background of anesthesia induction in the pediatric population. The age group that is referred to here belongs neonates to up to thirteen years of age. This review will explore the causes that result from the induction of anesthesia in such populations.
儿科麻醉围手术期常见问题:文献综述
有几种疾病需要对儿童进行麻醉。有时,这是由于孩子们的不合作,要求他们在一个必要的过程中镇静,而在其他时候,这是因为任何指示的外科手术,他们必须经历,他们被麻醉。然而,与成人不同的是,儿童特别是儿科人群有特殊的需求和要求,这使他们成为接受所需麻醉的特殊候选人。在儿童中,几乎所有的参数在解剖学、生理学、药理学和心理学上都是不同的。根据最近的一些研究,人们也注意到,在儿科人群中,如果麻醉期间或麻醉后不注意,必然会出现与麻醉诱导有关的重大不良事件。这些问题可能会出现代替几个因素,如麻醉的选择,麻醉方式,气道管理,麻醉逆转。在所有情况下,最好是避免并发症和不良事件的风险,确保只有最有能力和最专业的工作人员参与麻醉团队。在麻醉护理和管理得当的情况下,明显的,任何危急事件的风险将大大降低,儿童可以很容易地进行手术。这篇综述的目的是处理某些问题,出现在麻醉诱导的背景下,在儿科人群。这里所指的年龄组属于13岁以下的新生儿。这篇综述将探讨在这类人群中诱导麻醉的原因。
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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