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首页> 外文期刊>Paediatric anaesthesia >Defining awakening from anesthesia in neonates: a consensus study.
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Defining awakening from anesthesia in neonates: a consensus study.

机译：定义新生儿的麻醉觉醒：一项共识研究。

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BACKGROUND: A descriptive tool for determining awakening in infants is desirable to test the value of depth of anesthesia monitors. Although scales and criteria have been developed for children and infants, none has been applied to the study of anesthetised neonates. We aimed to seek consensus in a group of experts on a definition of awakening at the end of anesthesia in neonates. METHODS: We used a modified Delphi technique with an iterative process of questionnaires and anonymised feedback. Communication was conducted by email. Thirty-one consultant pediatric anesthetists in the UK and Ireland took part. Consensus was defined a priori as 80% agreement. RESULTS: The 83% of respondents agreed that defining awakening is possible. Consensus was reached on six criteria and also that a combination of these criteria must be used. As crying and attempting to cry are similar, we propose that at least two of the following five behaviors are present to consider a neonate awake after anesthesia: (i) crying or attempting to cry, (ii) vigorous limb movements, (iii) gagging on a tracheal tube, (iv) eyes open, and (v) looking around. There was also consensus that three stimuli are appropriate to test rousability in neonates awakening from anesthesia: (i) removal of skin adhesive tape, (ii) stroking/tickling the skin or gentle shaking, and (iii) pharyngeal suction. CONCLUSIONS: We propose a scale for determining awakening from anesthesia in neonates that may be used in future studies, particularly regarding electroencephalographic data and depth of anesthesia monitoring in neonates.
机译：背景：用于确定婴儿觉醒的描述性工具是理想的，以测试麻醉深度监测器的值。尽管已经为儿童和婴儿制定了量表和标准，但尚未将其应用于麻醉新生儿的研究。我们旨在在专家组中寻求共识，以定义新生儿麻醉结束时的唤醒方式。方法：我们使用改进的Delphi技术，对问卷和匿名反馈进行迭代处理。交流是通过电子邮件进行的。英国和爱尔兰的31位儿科麻醉顾问医生参加了会议。先验共识定义为80％的共识。结果：83％的受访者同意定义唤醒是可能的。在六个标准上达成了共识，并且还必须结合使用这些标准。由于哭泣和尝试哭泣是相似的，我们建议存在以下五种行为中的至少两种，以考虑麻醉后的新生儿清醒：（i）哭泣或试图哭泣，（ii）剧烈的肢体运动，（iii）作呕（iv）睁开眼睛，和（v）环顾四周。也有共识认为，三种刺激适合测试从麻醉中醒来的新生儿的可唤醒性：（i）撕下皮肤胶带，（ii）抚摸/挠痒或轻轻摇动皮肤，以及（iii）咽吸。结论：我们提出了一种用于确定新生儿麻醉觉醒的量表，该量表可用于将来的研究中，尤其是有关脑电图数据和新生儿麻醉监测深度的量表。

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