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Apneic oxygenation in pediatric anesthesia

机译:Apneic oxygenation in pediatric anesthesia

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摘要

Apneic oxygenation is increasingly used in pediatric anesthesia. Its benefit for specific applications depends on the effect of apneic oxygenation on safe apnea time and carbon dioxide (CO2) elimination, on differences between low and high flow oxygen delivery, and on possible adverse effects. The present review summarizes current evidence on these pathophysiological aspects of apneic oxygenation as well as its applications in pediatric anesthesia. Apneic oxygenation with both low flow and high flow nasal oxygen increases the safe apnea time, but does not lead to increased CO2 elimination. Airway pressures and adverse effects like atelectasis formation, oxidative stress and aerosol generation under apneic oxygenation are not well studied in pediatric anesthesia. Data from adults suggest no important effect on airway pressures when the mouth is open, and no significant formation of atelectasis, oxidative stress or aerosol generation with high flow nasal oxygen. Apneic oxygenation in pediatric anesthesia is mainly used during standard and difficult airway management. It is sometimes used for airway interventions, but CO2 accumulation remains a major limiting factor in this setting. Reports highlight the use of high flow nasal oxygen in spontaneously breathing rather than in apneic children for airway interventions.

著录项

  • 来源
    《Current opinion in anaesthesiology》 |2022年第3期|361-366|共6页
  • 作者单位

    Department of Anaesthesia, University Children's Hospital Zurich – Eleonore Foundation, Zurich;

    Department of Paediatric Surgery, Cantonal Hospital Aarau, Aarau;

    Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University;

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  • 原文格式 PDF
  • 正文语种 英语
  • 中图分类 麻醉学;
  • 关键词

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