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首页> 外文期刊>Current opinion in anaesthesiology >Pediatric anesthesia in the nonoperating room setting.
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Pediatric anesthesia in the nonoperating room setting.

机译：非手术室环境中的小儿麻醉。

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PURPOSE OF REVIEW: The paper will review the few studies that have been published recently on nonoperating room pediatric anesthesia/sedation. These studies target gaps in our understanding of critical factors associated with the provision of nonoperating room anesthesia safety and reliability in children. RECENT FINDINGS: More objective data regarding the safety and reliability of this practice have become available. Video can accurately capture a child's state and allow comparison of different sedation techniques more objectively than is possible with available literature. The use of standard simulated events allows rescue performance in actual care systems to be tested for their ability to manage a rare, but critical respiratory depression episode. Preliminary findings from a large multicenter study from the Pediatric Procedural Sedation Research Consortium suggests critical adverse events are rare (one cardiac arrest in over 30,000 sedation encounters), but that potentially critical events occur commonly (one in 400 procedures was associated with stridor, laryngospasm, wheezing or apnea). SUMMARY: Research into the critical factors that impact safety and reliability in the performance of nonoperating room anesthesia for children is providing objective observational techniques along with large outcomes databases that should enable targeted improvements in the safety and reliability of this growing practice.
机译：审查目的：本文将回顾最近发表的有关非手术室小儿麻醉/镇静的一些研究。这些研究的目标是在我们对与为儿童提供非手术室麻醉的安全性和可靠性相关的关键因素的理解上存在差距。最近的发现：有关此做法的安全性和可靠性的更多客观数据已经可用。与现有文献相比，视频可以准确地捕获儿童的状态，并且可以更客观地比较不同的镇静技术。通过使用标准的模拟事件，可以测试实际护理系统中的救援性能处理罕见但严重的呼吸抑制事件的能力。儿科程序镇静研究联合会进行的一项大型多中心研究的初步结果表明，严重的不良事件很少见（超过30,000次镇静事件中发生一次心脏骤停），但潜在的严重事件通常发生（400例中的一项与喘鸣，喉痉挛，喘息或呼吸暂停）。摘要：对影响儿童非手术室麻醉性能的安全性和可靠性的关键因素的研究正在提供客观的观察技术以及大型结局数据库，这些数据库应能够有针对性地改善这种不断增长的做法的安全性和可靠性。

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