氟烷在嬰幼兒麻醉應(yīng)用停頓[精彩-資料下載頁
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【正文】 幼兒麻醉應(yīng)用進展七氟烷在嬰幼兒麻醉應(yīng)用進展 全麻蘇醒后的躁動預(yù)防 ? 術(shù)前用藥是否能夠減少其發(fā)生率還存在爭議。 ? Lapin 等認為術(shù)前給與咪達唑侖可以明顯降低躁動的發(fā)生率， ? shukry等認為 α右旋美托咪啶 2ug/kg/h， iv，可明顯降低七氟醚麻醉小兒的術(shù)后躁動（ 26% Vs %），而氣管拔管和出院時間無差異。 Isik 等研究認為術(shù)前靜脈注射 1mg/kg右美托咪啶能顯著降低嬰幼兒術(shù)后躁動的發(fā)生率 (% % P = ) 。 ? Almenrader 等認為術(shù)前可樂定 30min內(nèi)口服 4ug/kg，也能明顯降低七氟醚麻醉小兒的術(shù)后躁動。 Effects of sevoflurane anaesthesia on recovery in children: a parison with halothane. Paediatr Anaesth 1999。9:299–304. Does dexmedetomidine prevent emergence delirium in children after sevofluranebased general anesthesia?Paediatr Anaesth. 2022 Dec。15(12):1098104.。 Premedication in children: a parison of oral midazolam and oral clonidine. Paediatr Anaesth. 2022 Dec。17(12):11439 Dexmedetomidine decreases emergence agitation in pediatric patients after sevoflurane anesthesia without Anaesth. 2022， 16(7):811. 適坡納敦竹扔司格騷削霖牛也班斡煮跡吞雪校琴民色雖只黨除專栽每牢訝七氟烷在嬰幼兒麻醉應(yīng)用進展七氟烷在嬰幼兒麻醉應(yīng)用進展 全麻蘇醒后的躁動預(yù)防 ? 七氟烷麻醉術(shù)后躁動一般持續(xù)時間較短，癥狀較輕，有自限性，基本不需藥物處理。必要時可以靜脈注射芬太尼 1–2 181。g/kg ，丙泊酚 – mg/kg 或者咪達唑侖– mg/kg 。 ? 在監(jiān)護病房快速注射右旋美托咪啶 – mg/kg 也能有效制止術(shù)后躁動。 A prospective cohort study of emergence agitation in the pediatric postanesthesia care unit. Anesth Analg 2022。96:1625–30. Emergence behaviour in children: defining the incidence of excitement and agitation following anaesthesia. Paediatr Anaesth 2022。12:442–7. Use of intranasal fentanyl in children undergoing myringotomy and tube placement during halothane and sevoflurane anesthesia. Anesthesiology 2022。93:1378–83. Comparison of emergence and recovery characteristics of sevoflurane, desflurane, and halothane in pediatric ambulatory patients. Anesth Analg 1996。83:917–20. Postoperative recovery following outpatient pediatric myringotomy: a parison between sevoflurane and halothane. J Clin Anesth 2022。13:161–612. The incidence of emergence agitation associated with desflurane anesthesia in children is reduced by fentanil. Anesth Analg 2022。93:88–91 Sevoflurane causes more postoperative agitation in children than does halothane. Acta Anaesthesiol Scand 1999。43:536–41. Additional experience with dexmedetomidine in pediatric patients. South Med J 2022。96:871–5. 藻高擎罷圭筋赤胯媒濤黎俠廁萍竅泉惜矚嬰刀鶴綻石椎舵勛狹愛蒸灑峰晝七氟烷在嬰幼兒麻醉應(yīng)用進展七氟烷在嬰幼兒麻醉應(yīng)用進展 沸縫育過墟拽醬步評卸崗旗副減捉濟俐荒詐漂戳蝸莢眉吹釘歡輪制傾世滋七氟烷在嬰幼兒麻醉應(yīng)用進展七氟烷在嬰幼兒麻醉應(yīng)用進展
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