Anaesthesia for specialist surgery in infancy

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• 作者：Amanda Dalton ; Graham Knottenbelt
• 关键词：Congenital diaphragmatic hernia ; exomphalos ; gastroschisis ; infantile hernia ; laparoscopy ; necrotizing enterocolitis ; pyloric stenosis ; thoracoscopy ; tracheo-oesophageal fistula
• 刊名：Anaesthesia & Intensive Care Medicine
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：18
• 期：2
• 页码：90-98
• 全文大小：1003 K
• 卷排序：18

文摘

Specialist surgery in infancy provides unique and significant challenges for paediatric anaesthetists. Both common (inguinal hernias and hypertrophic pyloric stenosis) and less common conditions (tracheo-oesophageal fistula, congenital diaphragmatic hernia, exomphalos (omphalocele), gastroschisis and congenital lobar emphysema) require a sound understanding of the relevant pathology and the particular issues that may be encountered in order to safely anaesthetise these infants. It is important to maintain a high attention to detail and to strive for excellent communication between all members of the perioperative team. In the last decade there has been a rise in the number of procedures in infancy being performed with a minimally invasive technique and this has a wide range of implications for anaesthesia.