The child with facial abnormalities

被引：11

作者：

de Beer, David ^{[1
]}

Bingham, Robert ^{[1
]}

机构：

[1] Great Ormond St Hosp Sick Children, Dept Anaesthesia, London WC1N 3JH, England

来源：

CURRENT OPINION IN ANESTHESIOLOGY | 2011年 / 24卷 / 03期

关键词：

airway equipment; airway management; congenital abnormality; facial abnormality; laryngoscopy; FREEMAN-SHELDON-SYNDROME; LARYNGEAL MASK AIRWAY; DIFFICULT PEDIATRIC AIRWAY; TRACHEAL INTUBATION; FRASER-SYNDROME; ROBIN-SEQUENCE; ANESTHETIC CONSIDERATIONS; FIBEROPTIC INTUBATION; GENERAL-ANESTHESIA; LARSEN-SYNDROME;

D O I：

10.1097/ACO.0b013e328346621b

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Purpose of review The aim of this review is to outline the priorities in the anaesthetic management of the child with facial abnormalities. It presents a practical approach to this, based on the anatomical site of the deformity and degree of mouth opening. Recent findings The literature reviewed primarily consists of case reports and series describing anaesthesia in children with relevant syndromes. Also scrutinized is the literature examining the role and effectiveness of recently developed airway management equipment. Summary This is a challenging area of anaesthetic practice but the use of a structured approach, combined with supraglottic airway devices and fibre-optic and indirect laryngoscopic equipment, has allowed the safe administration of anaesthesia to almost all children with conditions resulting in facial abnormality.

引用

页码：282 / 288

页数：7

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