Li Lifang,Xu Yan,Shu Shiyu.Anesthetic analysis of 485 patients with biliary atresia during Kasai surgery[J].Journal of Clinical Pediatric Surgery,,18():864-867,873.[doi:10.3969/j.issn.1671-6353.2019.10.013]
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Anesthetic analysis of 485 patients with biliary atresia during Kasai surgery

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 10 Page: 864-867,873 Column: 论著 Date of publication: 2019-10-28
Author(s):
Li Lifang1;  Xu Yan2;  Shu Shiyu3
1. Department of Anesthesiology, Dalian Children’s Hospital, Dalian 116012, China;
2. Department of Anesthesiology, Affiliated Children’s Hospital, Chongqing Medical University, Chongqing 400014, China;
3. Department of Anesthesiology, Children’s Ho
Keywords:
Biliary Atresia/SU; Anesthsia; Child
CLC:
R657.4+4;R614
DOI:
10.3969/j.issn.1671-6353.2019.10.013
Abstract:
Objective To explore the anesthetic methods and perioperative problems of children with biliary atresia undergoing Kasai operation.Methods Retrospective analysis was conducted for general preoperative profiles,anesthetic methods,intraoperative anesthetic management and perioperative anesthesia related complications from February 2016 to February 2017.Results Except for one case of canceling operation due to subglottic stenosis,the average operative duration was 100 min.All procedures were smooth without any anesthetic mortality.Only two cases experienced a difficulty of tracheal intubation.Among them,41.9% maintained stable blood pressure with vasoactive drugs (dopamine or norepinephrine) and 6.7% were infused intraoperatively with concentrated red blood cells.Hypothermia occurred in 52.1% of them.Tracheal catheter was removed at 10-20 min post-operation.And 1.6% of them had delayed recovery.Conclusion Attention should be paid to maintaining warmth during induction,preventing temperature dropping and controlling fluid infusion.Albumin is a best choice.Also preventing intraoperative hypotension and maintaining inhalation during anesthesia may facilitate postoperative rapid recovery.

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Memo

收稿日期:2018-05-12。
基金项目:国家自然科学基金资助（编号：81200053）；重庆市科委课题（编号：cstc2015jcyjA10095）
通讯作者:舒仕瑜,Email:Shushiyu@hotmail.com

Last Update: 1900-01-01