在小儿低血压手术的麻醉中进行外科手术期间的考虑
Brent Schakett1, Grace Huang1, Heena Pranav1
1Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Seminars in pediatric surgery
|October 30, 2024
概括
严重的儿童肥胖症是一个日益蔓延的流行病. 虽然建议改变生活方式,但减肥手术为面临肥胖挑战的青少年提供了持续的BMI降低和改善健康.
科学领域:
- 公共卫生 公共卫生
- 儿科内分泌学 儿科内分泌学
- 手术创新 在外科创新.
背景情况:
- 肥胖是一个影响所有人口的全球流行病,在2022年,16%的成年人和1.6亿儿童受到影响.
- 严重的儿科肥胖 (95百分点的120%) 构成了"流行病中的流行病",因为长期的健康风险和寿命缩短.
- 美国肥胖的经济负担很大,每年花费1.4万亿美元,占GDP的近7%.
研究的目的:
- 审查接受减肥手术的儿科患者麻醉方面的考虑.
- 为了突出麻醉师在治疗儿童严重肥胖时所面临的挑战.
主要方法:
- 关于儿童肥胖治疗和麻醉管理的当前文献的综述.
- 美国儿科学会 (AAP) 对肥胖护理建议的分析.
- 对青少年减肥手术的长期结果的检查.
主要成果:
- 行为和生活方式的修改是AAP的初始治疗建议.
- 自2004年以来使用的减肥手术证明了青少年持续的BMI降低和并发症状况的改善.
- 严重的儿科肥胖症带来了独特的麻醉挑战,需要专门的知识.
结论:
- 青少年减肥手术是严重肥胖的有效选择,提供显著的健康益处.
- 麻醉师必须准备好应对与严重肥胖的儿科患者管理相关的具体挑战.
- 需要进一步的研究和标准化的协议来优化这种人群的麻醉护理.
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