Anesthesia for pediatric ophthalmologic surgery

被引:11
作者
Waldschmidt, Brian [1 ]
Gordon, Noah [2 ]
机构
[1] Univ Vermont, Med Ctr, Dept Anesthesiol, Burlington, VT USA
[2] Northern Calif Anesthesia Phys, Sutter Hosp, Calif Pacific Med Ctr, Dept Anesthesiol, San Francisco, CA USA
来源
JOURNAL OF AAPOS | 2019年 / 23卷 / 03期
关键词
AWAKE-REGIONAL ANESTHESIA; GENERAL-ANESTHESIA; PREOPERATIVE ANXIETY; RISK-FACTORS; POSTOPERATIVE NAUSEA; EMERGENCE AGITATION; STRABISMUS SURGERY; CHILDHOOD EXPOSURE; RESPIRATORY EVENTS; PARENTAL PRESENCE;
D O I
10.1016/j.jaapos.2018.10.017
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
This review presents updated recommendations, based on existing clinical research, for anesthetic management of strabismus surgery in children. In children, unlike adults, eye surgery nearly always requires general anesthesia, even for brief procedures. Recommendations for preoperative anxiolysis, fasting guidelines, and management of upper respiratory infections are discussed. Airway considerations and the oculocardiac reflex are highlighted. The prevention of postoperative complications, including those related to opioid prescription therapy, is also addressed. Finally, given the 2016 warning from the Food and Drug Administration about anesthesia neurotoxicity in children, we discuss recent studies on anesthetic neurotoxicity in children undergoing general anesthesia.
引用
收藏
页码:127 / 131
页数:5
相关论文
共 61 条
[1]  
Ali Monaz Abdulrahman, 2013, Saudi J Anaesth, V7, P296, DOI 10.4103/1658-354X.115363
[2]   Anesthesia and Developing Brains - Implications of the FDA Warning [J].
Andropoulos, Dean B. ;
Greene, Michael F. .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 376 (10) :905-907
[3]  
[Anonymous], 2016, FDA Drug Safety Communication: FDA review results in new warnings about using general anesthetics and sedation drugs in young children and pregnant women
[4]  
[Anonymous], 2012, WHO Guidelines on the Pharmacological Treatment of Persistent Pain in Children With Medical Illness
[5]   Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures An Updated Report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters [J].
Apfelbaum, Jeffrey L. ;
Caplan, Robert A. ;
Connis, Richard T. ;
Epstein, Burton S. ;
Nickinovich, David G. ;
Warner, Mark A. .
ANESTHESIOLOGY, 2011, 114 (03) :495-511
[6]   THE OCULOCARDIAC REFLEX AS A SURGICAL AID IN IDENTIFYING A SLIPPED OR LOST EXTRA-OCULAR MUSCLE [J].
APT, L ;
ISENBERG, SJ .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1980, 64 (05) :362-365
[7]  
Arnold Robert W, 2004, Binocul Vis Strabismus Q, V19, P215
[8]   Intravenous dexmedetomidine augments the oculocardiac reflex [J].
Arnold, Robert W. ;
Biggs, Russell E. ;
Beerle, Brion J. .
JOURNAL OF AAPOS, 2018, 22 (03) :211-213
[9]   A randomized trial comparing sevoflurane and propofol in children undergoing MRI scans [J].
Bryan, Yvon F. ;
Hoke, Lauren K. ;
Taghon, Thomas A. ;
Nick, Todd G. ;
Wang, Yu ;
Kennedy, Stephanie M. ;
Furstein, James S. ;
Kurth, Charles Dean .
PEDIATRIC ANESTHESIA, 2009, 19 (07) :672-681
[10]  
Cassady JF, 1999, ANESTH ANALG, V88, P246