Seminars in anesthesia最新文献_第2页

Anesthesia for the pediatric patient with a tracheostomy 气管切开术患儿的麻醉

Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.06.009

Patrick Ross MD, FAAP

引用次数: 1

The experiences of epidural administration of clonidine in pediatric postoperative pain management 小儿术后疼痛处理硬膜外给药可乐定的体会

Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.07.001

Jacqueline Drummond-Lewis MD, FAAP, William B. McIlvaine MD, CM, FRCPC, FAAP

引用次数: 0

Routine pregnancy testing in adolescents: to test or not to test—what is the answer? 青少年常规妊娠检测:检测还是不检测——答案是什么?

Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.06.005

Randall C. Wetzel MB, BS, MRCP, LRCS, FAAP, FCCM

引用次数: 1

Anesthesia for patients with cleft lip and palate 唇腭裂患者的麻醉

Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.06.004

David J. Steward MB BS, FRCP

引用次数: 9

MH-associated diseases: who really needs a non-triggering technique? mh相关疾病:谁真的需要非触发技术?

Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.06.007

Ronald S. Litman DO, FAAP

引用次数: 3

Selected topics in perioperative multimodal pediatric pain management 围手术期多模式儿童疼痛管理的选定主题

Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.06.006

Michael H. Joseph MD

引用次数: 1

Anterior mediastinal masses in children 儿童前纵隔肿块

Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.06.003

Jerrold Lerman BASc, MD, FRCPC, FANZCA

{"title":"Anterior mediastinal masses in children","authors":"Jerrold Lerman BASc, MD, FRCPC, FANZCA","doi":"10.1053/j.sane.2007.06.003","DOIUrl":"10.1053/j.sane.2007.06.003","url":null,"abstract":"<div>Anterior mediastinal masses may present life-threatening challenges for the anesthesiologist, particularly in children. Children with symptoms referable to the respiratory involvement may present with dyspnea, orthopnea, or pleuritic chest pain. Those with symptoms referable to cardiovascular involvement may present with syncope, shortness of breath with exertion and in certain positions, and swelling in the face. Chest x-rays, CAT scans, and echocardiography are commonly used to investigate these masses. The more common tumors in the anterior mediastinum are known by the four “T”s: thymoma, teratoma, thyroid, and terrible lymphoma. T-cell lymphomas represent the most rapid growing tumors with a doubling time of 12 hours. These tumors may invaginate or compress adjacent structures, such as the trachea, causing tracheomalacia and tracheal narrowing and/or may compress the pulmonary artery and right atrium, infiltrate the pericardium, and restrict the superior vena cava, thereby compromising cardiac output. The key strategy when planning these cases is to consider the type of anesthetic, spontaneous ventilation, and the position of the child. Local anesthesia, sedation, or general anesthesia is suitable. Local anesthesia with sedation may be used in cooperative older children. General anesthesia should be accompanied by spontaneous ventilation. Muscle relaxants are proscribed. Children may not tolerate the supine position, especially after induction of anesthesia; turning the child to the left decubitus or prone position restores ventilation and cardiac output. The key strategy to restore cardiorespiratory homeostasis when the anesthetized child with an anterior mediastinal tumor begins to deteriorate is to turn them to the lateral decubitus or prone position.</div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":"26 3","pages":"Pages 133-140"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114331953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

The development of a crisis management manual for anesthetists and anesthesiologists 为麻醉师和麻醉师编写危机管理手册

Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.06.008

John A. Williamson BSc, MBBS, DA(Melb.), FANZCA, DipDHM, FACTM, Peter Hibbert B App Sc (Physio), Grd Dip Comp, Cert Hlth Prog Ev, Klee Benveniste BA, Dip App Psych, PhD, MAPS, Bill Runciman MBBCh, FANZCA, FJFICM, FHKCA, FRCA, PhD

引用次数: 1

Volatile anesthetics and the hypoxic ventilatory response: effects, clinical implications, and future research 挥发性麻醉剂和低氧通气反应:效果、临床意义和未来研究

Seminars in anesthesia Pub Date : 2007-06-01 DOI: 10.1053/j.sane.2007.03.001

Jaideep J. Pandit MA, BM, DPhil, FRCA

引用次数: 8

Novel data on opioid effect on breathing and analgesia 阿片类药物对呼吸和镇痛作用的新数据

Seminars in anesthesia Pub Date : 2007-06-01 DOI: 10.1053/j.sane.2007.04.003

Albert Dahan MD, PhD

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引用次数: 8