相关实验视频
Updated: Feb 13, 2026

08:08
Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
4.2K
儿童神经外科的"醒着"切除术:一个12岁儿童患有复发性结瘤的病例报告
Joana Cabral1, Diana Sousa1, Maria Antunes1
1Anesthesiology, ULS São João (Unidade Local de Saúde São João), Porto, PRT.
Cureus
|February 12, 2026
概括
醒着的头骨切除术在儿童患者中是可行的和安全的,用于脑瘤切除,即使是复杂的病例. 精心准备和多学科团队确保成功的结果,保持神经功能.
科学领域:
- 神经外科 神经外科
- 儿科神经学 儿科神经学
- 麻醉学 麻醉学
背景情况:
- 醒着的头骨切除术最大限度地减少了口才皮层附近的瘤切除,但由于合作和麻醉问题,在儿科患者中具有挑战性.
- 一个12岁男孩的复发性结质瘤提出了手术干预的复杂案例.
研究的目的:
- 在患有复发性脑瘤的儿科患者中描述醒着骨切除术的可行性和安全性.
- 突出了手术前准备和多学科方法在儿科醒着骨切除术的重要性.
主要方法:
- 采用了使用普罗波,雷米芬坦尼尔和德克斯米德托米丁的睡眠-觉醒-睡眠麻醉技术.
- 一个supraglottic装置管理了呼吸道,通过皮质刺激引导瘤切除,语言映射.
- 进行了手术前的神经心理测试和手术室熟悉.
主要成果:
- 瘤被成功切除,没有并发症,以语言映射为指导.
- 患者经历了一次平稳的恢复.
- 手术后一年,该患者仍然没有发作,没有认知或心理缺陷.
结论:
- 醒着的骨切除术是儿童大脑瘤患者在口才区域附近的安全和可行的选择.
- 精心准备,包括神经心理评估和患者熟悉,对于成功至关重要.
- 多学科的团队方法对于有效地管理儿科醒着的骨切除术至关重要.
相关概念视频
Data Reporting and Recording
5.5K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.5K
Types of Reports I: Hands-off Report
1.6K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.6K
Pharmacokinetics in Pediatric Patients: Drug Excretion
277
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
277
Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K
Pharmacokinetics in Pediatric Patients: Drug Distribution
334
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
334
Pharmacokinetics in Pediatric Patients: Drug Metabolism
246
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
246

