第一次麻醉暴露对1至36个月大的儿童短期神经认知功能的影响:一项病例控制试点研究
Pichaya Waitayawinyu1, Taniga Kiatchai1, Tanapop Kiatpanomphae1
1Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Translational pediatrics
|August 14, 2023
概括
在幼儿中,短期麻醉暴露并没有导致认知功能显著下降. 然而,一小部分儿童在麻醉后的认知分数下降.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 神经发育儿科 神经发育儿科
- 认知心理学 认知心理学
背景情况:
- 有限的数据存在于早期儿童麻醉对神经发育的短期影响.
- 之前的研究表明,与普通人群相比,长期麻醉没有显著的影响.
- 这项研究侧重于麻醉后的短期认知功能变化.
研究的目的:
- 在接受非心脏手术的儿童中,在麻醉后评估短期的神经认知功能.
- 将麻醉后的认知功能与基线评估进行比较.
- 为了确定暴露于麻醉的婴儿和幼儿的潜在短期认知变化.
主要方法:
- 未来病例控制试点研究,涉及1至36个月的健康和住院儿童.
- 在基线和麻醉后七天使用贝利婴儿和幼儿发育量表 (Bayley Scales of Infant and Toddler Development,第三版) 评估神经认知功能.
- 对照组仅接受了基线评估;麻醉组在手术前后进行了评估.
主要成果:
- 麻醉组的基线认知分数明显低于对照组 (111.50对比97.13).
- 麻醉组的麻醉后认知得分在统计上高于基线 (97.05对101.28),但没有临床意义.
- 麻醉组中17.9%的参与者经历了麻醉后认知复合分数的下降.
结论:
- 与对照组相比,接受麻醉的儿童的基线认知功能较低.
- 麻醉后立即没有观察到认知得分的总体显著下降.
- 显著的百分比的儿童 (17.9%) 显示在麻醉暴露后认知得分下降.
更多相关视频
09:49Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
Published on: January 20, 2023
3.2K
06:38Use of a Piglet Model for the Study of Anesthetic-induced Developmental Neurotoxicity AIDN: A Translational Neuroscience Approach
Published on: June 11, 2017
11.3K
相关概念视频
Local Anesthetics: Adverse Effects
453
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
453
Parenteral Anesthetics: Overview
155
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
155
Stages of General Anesthesia
500
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
500
General Anesthesia: Overview
242
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
242
Inhalational Anesthetics: Overview
339
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
339
