小儿七氟烷全身麻醉苏醒期躁动及其处理
被引量:17
摘要
苏醒期躁动是小儿全身麻醉苏醒期的一个常见问题,近年来随着七氟烷在小儿麻醉中的普遍应用,该问题日益突出,成为困扰小儿临床麻醉医师和术后重症监护病房(ICU)医师的难题。本文将简要描述小儿七氟烷麻醉苏醒期躁动的诱因、可能机制以及减少其发生的干预措施。
出处
《上海医学》
CAS
CSCD
北大核心
2012年第6期469-472,共4页
Shanghai Medical Journal
参考文献35
-
1ECKENHOFF J E, KNEALE D H, DRIPPS R D. The incidence and etiology of postanesthetic excitment. A clinical survey[J]. Anesthesiology, 1961, 22(5) : 667-673. 被引量:1
-
2Management o{ the agitated intensive care unit patient[J]. Crit Care Med, 2002, 30(1):S97-S123. 被引量:1
-
3WILSON T A, GRAVES S A. Pediatric considerations in a general postanesthesia care unit[J]. J Post Anesth Nurs, 1990, 5 (1) : 16-24. 被引量:1
-
4MALARBI S, STARGATT R, HOWARD K, et al. Characteri- zing the behavior of children emerging with delirium from general anesthesia[J]. Paediatr Anaesth, 2011, 21(9): 942-950. 被引量:1
-
5BAJWA S A, COSTI D, CYNA A M. A comparison of emergence delirium scales following general anesthesia in children [J]. Paediatr Anaesth, 2010, 20(8): 704-711. 被引量:1
-
6VLAJKOVIC G P, SINDJELIC R P. Emergence delirium in children.- many questions, few answers[J]. Anesth Analg, 2007, 104(1): 84-91. 被引量:1
-
7LAPIN S L, AUDENSM, GOLDSMITH L J, et ak Effects of sevoflurane anaesthesia on recovery in children: a comparison with halothane[J]. PaediatrAnaesth, 1999, 9(4): 299-304. 被引量:1
-
8AONO J, UEDA W, MAMIYA K, et al. Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys[J]. Anesthesiology, 1997, 87(6): 1298-1300. 被引量:1
-
9CRAVERO J, SURGENOR S, WHALEN K. Emergence agita- tion in paediatric patients after sevoflurane anaesthesia and no surgery= a comparison with halothane[J]. Paediatr Anaesth, 2000, 10(4):419-424. 被引量:1
-
10VOEPEL-LEWIS T, MALVIYA S, TAIT A R. A prospective cohort study of emergence agitation in the pediatric postanesthesia care unit[J]. Anesth Analg, 2003, 96(6): 1625-1630. 被引量:1
二级参考文献11
-
1Abu-Shahwan I.Effect of propofol on emergence behavior in children after sevoflurane general anesthesia.Paediatr Anaesth,2008,18:55-59. 被引量:1
-
2Aouad MT,Yazbeck-Karam VG,Nasr VG,et al.A single dose of propofol at the end of surgery for the prevention of emergence agitation in children undergoing strabismus surgery during sevoflurane anesthesia.Anesthesiology,2007,107:733-738. 被引量:1
-
3Bakhamees HS,Mercan A,El-Halafawy YM.Combination effect of low dose fentanyl and propofol on emergence agitation in children following sevoflurane anesthesia.Saudi Med J,2009,30:500-503. 被引量:1
-
4Funk W,Jakob W,Riedl T,et al.Oral preanaesthetic medication for children:double-blind randomized study of a combination of midazolam and ketamine vs midazolam or ketamine alone.Br J Anaesth,2000,84:335-340. 被引量:1
-
5Arai YC,Ito H,Kandatsu N,et al.Parental presence during induction enhances the effect of oral midazolam on emergence behavior of children undergoing general anesthesia.Acta Anaesthesiol Scand,2007,51:858-861. 被引量:1
-
6Kazak Z,Sezer GB,Yilmaz AA,et al.Premedication with oral midazolam with or without parental presence.Eur J Anaesthesiol,2010.27:347-352. 被引量:1
-
7Saringcarinkul A,Manchupong S,Punjasawadwong Y.Incidence and risk factors of emergence agitation in pediatric patients after general anesthesia.J Med Assoc Thai,2008,91:1226-1231. 被引量:1
-
8Cravero J,Surgenor S,Whalen K.Emergence agitation in paediatric patients after sevoflurane anaesthesia and no surgery:a comparison with halothane.Paediatr Anaesth,2000,10:419-424. 被引量:1
-
9Isik B,Arslan M,Tunga AD,et al.Dexmedetomidine decreases emergence agitation in pediatric patients after sevoflurane anesthesia without surgery.Paediatr Anaesth,2006,16:748-753. 被引量:1
-
10Breschan C,Platzer M,Jost R,et al.Midazolam does not reduce emergence delirium after sevoflurane anesthesia in children.Paediatr Anaesth,2007,17:347-352. 被引量:1
共引文献13
-
1奚春花,王砚华,李天佐.小剂量咪达唑仑与氯胺酮对七氟烷致非住院患儿术后躁动的影响[J].药物不良反应杂志,2011,13(3):142-146. 被引量:1
-
2周玉.七氟烷复合咪达唑仑对小儿阑尾切除术后躁动的影响[J].中国基层医药,2012,19(14):2139-2141. 被引量:2
-
3程金红.七氟醚复合骶管阻滞在小儿麻醉中的应用效果[J].现代中西医结合杂志,2013,22(8):886-887. 被引量:4
-
4雷鸿华,翟春明,陈丽艳.儿童上呼吸道软组织手术全身麻醉术后拔管期呼吸道不良事件的临床观察[J].吉林医学,2014,35(7):1367-1368.
-
5徐军.七氟烷复合咪达唑仑对小儿全麻术后躁动的影响[J].中国医药导刊,2014,16(5):840-841. 被引量:7
-
6于威威,季海音,薛航,赵平.咪达唑仑滴鼻用于小儿术前药的效果观察[J].实用药物与临床,2014,17(7):838-841. 被引量:12
-
7王若,王婉华.术前咪达唑仑滴鼻对患儿七氟烷麻醉诱导的影响[J].中华医学杂志,2016,96(24):1907-1911. 被引量:5
-
8刘源添,陈啸,杨春丽.七氟烷复合盐酸吗啡用于小儿全身麻醉的效果观察[J].吉林医学,2017,38(2):229-230. 被引量:2
-
9任可,章任宁.不同剂量咪达唑仑对肺癌手术患者的麻醉效果及安全性[J].中国生化药物杂志,2017,37(2):244-245. 被引量:4
-
10葛华顺,李泉霖,杨少春,邵帅,周在银.小儿术前常用镇静药物及给药途径研究进展[J].中外医学研究,2021,19(15):190-194. 被引量:4
同被引文献117
-
1朱凡,曲冬梅,沈亮,傅维安,于布为.老年高血压患者脑电双频指数监测下拔管的临床观察[J].临床麻醉学杂志,2007,23(7):538-540. 被引量:8
-
2Blaudszun G,Lysakowski C,Elia N,et al. Effect of perioperative systemica2 agonists on postoperative morphine consumption and pain intensity :systematic review and meta-analysis of randomized controlled trials[J].Anesthesiology,2012;116(6) : 1312-22. 被引量:1
-
3Blaudszun G,Lysakowski C,Elia N,et al.Effect of perioperative systemicα2 agonists on postoperative morphine consumption and pain intensity:systematic review and meta-analysis of randomized controlled trials[J].Anesthesiology,2012,116(6):1312-1322. 被引量:1
-
4张溪英,郭曲练,王江平,童易如,周星星,蒋丽丹.七氟烷用于小儿诱导及维持麻醉的临床研究[J].中南大学学报(医学版),2007,32(3):503-506. 被引量:60
-
5Kimura-Kuroiwa Kaori/K,Adachi,Yushi U/YU,Mimuro,Soichiro/S.The effect of aging on dopamine release and metabolism during Sevoflurane anesthesia in rat striatum:An in vivo microdialysis study. Brain Research Bulletin . 2012 被引量:1
-
6Siddik Sayyid SM,Aouad MT,Taha SK,et al.A comparison of sevoflurane prpofol Versus sevoflurane or propofol for laryngeal mask airway insertion in adults[J].Anesth Analg,2005,100:1204-1209. 被引量:1
-
7Sinha R,Subramaniam R,Chhabra A,et al.Comparison of topical lignocaine gel and fentanyl for perioperative analgesia in children undergoing cataract surgery[J].Pediatric Anesthesia,2009,19(4):371-375. 被引量:1
-
8Elshammaa N,Chidambaran V,Housny W,et al.Ketamine as an adjunct to fentanyl improves postoperative analgesia and hastens discharge in children following tonsillectomy-a prospective,double-blinded,randomized study[J].Pediatric Anesthesia,2011,21(10):1009-1014. 被引量:1
-
9Borland M,Milsom S,Esson A.Equivalency of two concentrations of fentanyl administered by the intranasal route for acute analgesia in children in a paediatric emergency department:A randomized controlled trial[J].Emergency Medicine Australasia,2011,23(2):202-208. 被引量:1
-
10Furyk JS,Grabowski WJ,Black LH.Nebulized fentanyl versus intravenous morphine in children with suspected limb fractures in the emergency department:A randomized controlled trial[J].Emergency Medicine Australasia,2009,21(3):203-209. 被引量:1
引证文献17
-
1王艳,刘世忠.七氟醚复合骶管阻滞在小儿泌尿结石手术中的应用[J].医学信息(医学与计算机应用),2014,0(16):49-49. 被引量:2
-
2吴伟辉.七氟烷和氯胺酮用于小儿麻醉后的苏醒质量比较[J].求医问药(下半月),2013(1):233-233.
-
3安礼俊,胡伟,刘海林.右美托咪定对老年骨折患者七氟烷麻醉苏醒期躁动的影响[J].中国老年学杂志,2013,33(1):203-204. 被引量:32
-
4黄惠球,袁文强,曾丽华.七氟烷麻醉骨折老年患者苏醒期躁动应用右美托咪定的临床效果研究[J].罕少疾病杂志,2014,21(2):24-27. 被引量:9
-
5白璐,陈宏志,赵越,丛雪,付佳.七氟醚复合芬太尼在幼儿眼科手术中的临床应用[J].实用药物与临床,2015,18(8):929-932. 被引量:1
-
6谭志林.七氟烷在小儿临床麻醉中的应用效果观察[J].中国医药指南,2015,13(26):138-139. 被引量:6
-
7王珊珊,许文音,卞勇,孙瑛,张马忠.七氟烷麻醉用于学龄前期与学龄期患儿扁桃体切除术后苏醒期躁动的比较[J].上海医学,2015,38(8):643-646. 被引量:4
-
8雷安锋,彭春晓,陈燕,段晶,李秀婷.丙泊酚联合七氟烷对减少小儿麻醉苏醒期躁动效果观察[J].现代仪器与医疗,2015,21(6):32-34. 被引量:23
-
9任应斌,栗静,陈勇,高俊伟,王文波.呼气末正压通气对小儿全身麻醉诱导期无通气时限的影响及与年龄和体重的相关性[J].中国妇幼保健,2016,31(6):1333-1334. 被引量:6
-
10蔡少英,张晓伟.小儿骶管复合全麻在下腹部手术中的临床观察[J].中国医学创新,2016,13(36):39-42. 被引量:3
二级引证文献103
-
1武娜,刘金东,陈超,马娟,张奉超.儿童术中七氟烷、地氟烷麻醉后苏醒期躁动问题研究[J].心理月刊,2019,0(22):7-9.
-
2韦云芳,苌彩霞,张国倩.七氟烷在小儿临床麻醉中的应用效果观察[J].世界最新医学信息文摘,2020(30):114-115.
-
3黄海芬,黄淑珍.七氟烷与丙泊酚结合在缓解小儿麻醉苏醒期躁动的效果探析[J].医学信息(医学与计算机应用),2016,29(30):243-243. 被引量:4
-
4廖萍.右美托咪定对老年骨折患者七氟烷麻醉苏醒期躁动的影响分析[J].医学信息(医学与计算机应用),2014,0(36):367-368.
-
5杨晓峰.丙泊酚联合七氟烷对小儿麻醉苏醒期躁动的效果观察[J].世界临床医学,2017,11(4):163-163. 被引量:2
-
6王敏,王迎光,黄伟文,谢林碧,彭丹丹,陈刚,农兰依,管小明,黄标,黄晓媚.七氟烷喉罩吸入麻醉复合连续硬膜外阻滞对老年上腹部手术患者血流动力学的影响[J].中国老年学杂志,2014,34(8):2136-2137. 被引量:13
-
7张健,王新辉.右美托咪定对七氟醚麻醉诱导时患者躁动及应激反应的影响观察[J].齐齐哈尔医学院学报,2014,35(1):40-41. 被引量:3
-
8周丽丹,韩碧园.右美托咪定影响七氟醚麻醉诱导时患者躁动及应激反应的观察[J].中外医学研究,2014,12(9):42-43. 被引量:1
-
9王之成,占霖森,徐慧胜.不同剂量右美托嘧啶对老年腹部手术全麻苏醒期躁动的影响[J].中国高等医学教育,2014(3):126-126. 被引量:2
-
10王伟明.全身麻醉苏醒期躁动治疗的临床观察[J].现代中西医结合杂志,2014,23(26):2945-2947. 被引量:9
-
1赵蔚,邴来英.全身麻醉联合诱导技术的临床应用观察[J].中国实用医药,2008,3(4):82-83. 被引量:1
-
2刘克勤.全麻苏醒期病人躁动危险因素的Logistic回归分析[J].内蒙古医学院学报,2012,34(S7):964-965. 被引量:1
-
3覃能.腰麻硬膜外联合麻醉在老年人应用中的临床现状[J].内蒙古中医药,2013,32(10):126-127. 被引量:2
-
4吴新军,梁劲松,谢敖文,曹文声,李祖红,邓中军.术后重症胰腺炎二例[J].临床外科杂志,2002,10(5):287-287.
-
5邱良诚,陈彦青.围术期主动性脑保护的研究进展[J].医学综述,2012,18(2):236-238. 被引量:1
-
6刘万枫,王珊娟,杭燕南.椎管内麻醉后的神经并发症[J].临床麻醉学杂志,2009,25(1):85-87. 被引量:33
-
7谭建强,齐孟娜,申红兰.甲磺酸罗哌卡因用于老年人蛛网膜下腔阻滞麻醉的临床观察[J].天津医药,2009,37(5):404-406. 被引量:3
-
8姚泽宇.西宁地区不同麻醉方法行妇科腹腔镜手术的临床观察[J].高原医学杂志,2004,14(3):44-45.
-
9石振国,唐锦前,雷志礼.硬膜外阻滞和内脏牵拉反应[J].武警医学,2002,13(2):107-108. 被引量:4
-
10郭雪叶.锁骨骨折内固定术后并发急性肺水肿1例[J].中国医药指南,2012,10(20):300-300.