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在脊髓麻醉下紧急进行新生儿扭曲的外科检查

Bridget L Findlay¹, Sierra T Pence¹, Francis A Jefferson¹

¹Mayo Clinic, Department of Urology, 200 1st St SW, Rochester, MN, 55905, USA.

Journal of pediatric urology

|September 7, 2024

概括

脊髓麻醉 (SA) 是紧急新生儿丸扭曲手术的安全有效选择,避免了全身麻醉 (GA) 的风险. 这项研究证实了SASA的存在.

科学领域:

儿科手术儿科手术
儿科麻醉学儿科麻醉学
新生儿护理新生儿护理

背景情况:

小孩子的全身麻醉 (GA) 可能会带来神经发育风险.
脊柱麻醉 (SA) 是小儿泌尿外科手术的可行替代方案.
这项研究探讨了急需新生儿丸扭曲治疗的SA.

研究的目的:

评估SA在新生儿丸扭曲手术中的安全性和有效性.
评估SA作为一种麻醉技术,用于新生儿紧急的阴囊探索.

主要方法:

对接受丸扭曲SA的新生儿 (<30天) 的回顾性数据收集 (2018年5月-2022年6月).
记录患者的人口统计,辅助药物和程序时间点.
包括操作时间,SA管理时间和手术室利用率.

主要成果:

六名新生儿 (平均年龄为1.9天) 接受了丸扭曲的SA.
四名患者 (67%) 需要进行耳管切除术;所有患者都有耳管.
没有观察到与SA. 进行术前或术后并发症.

结论:

在急需的新生儿丸扭曲修复中,SA是安全有效的.
可以在不转化为GA或IV镇静的情况下使用SA.
儿科泌尿科医生和麻醉师之间的合作是SA更广泛采用的关键.

关键词:

新生儿扭曲症在新生儿扭曲症中儿科区域麻醉地区麻醉儿科泌尿病学儿科泌尿病学脊髓麻醉脊髓麻醉

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