Hu Yaoqin,Huang Jinjin,Wang Jinhu,et al.Anesthesia management in pediatric populations suspected of or diagnosed with SARS-CoV-2 infection[J].Journal of Clinical Pediatric Surgery,2020,19(02):111-114.[doi:10.3969/j.issn.1671-6353.2020.02.004]
小儿外科疑似或确诊新型冠状病毒感染患者的麻醉管理建议
- Title:
- Anesthesia management in pediatric populations suspected of or diagnosed with SARS-CoV-2 infection
- 关键词:
- 麻醉; 严重急性呼吸综合征冠状病毒; 新型冠状病毒感染; 防控策略; 儿童
- Keywords:
- Anaesthesia; SARS-CoV-2; COVID-19; Control Strategy; Child
- 分类号:
- R614;R473.51;R613;R608;R612
- 摘要:
- 目前,严重急性呼吸综合征冠状病毒2引发的疫情在全国持续蔓延,已成为严重的公共卫生问题。疫情期间儿童(尤其是婴幼儿)疑似或确诊感染者的气道管理和围手术期麻醉管理面临严峻挑战。为更好应对疑似或确诊新型冠状病毒感染患儿的麻醉手术,保障患儿及医务人员的安全,本文从麻醉手术中心物资及人员准备、麻醉方案建议与实施策略、手术结束后特殊处理、围手术期参与麻醉手术医护人员的感染防控等方面进行阐述,为儿童疑似或确诊新型冠状病毒感染患者麻醉管理中的疫情防控提供建议。
- Abstract:
- Currently the rampant spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become the most serious public health hazard in China and beyond.Affecting infants and toddlers,this epidemic has presented unique challenges to the perioperative management of airway and anaesthesia in children suspected of or diagnosed with SARS-CoV-2 infection.To confront the threats and ensure the safety of both surgical pediatric patients and medical staff,this review shall focus upon preparing materials and staffing at operation theaters,implementation strategies of anesthesia plan,special postoperative issues and perioperative infection controls.Suggestions are also provided for anesthesia management in pediatric population suspected of or diagnosed with SARS-CoV-2 infection.
参考文献/References:
1 何浩,凌肯,吴志林,等.疑似或确诊新型冠状病毒肺炎患者的麻醉工作建议[EB/OL].(2020-02-04)[2020-02-10].https://mp.weixin.qq.com/s/BdpFEl-Ciq9IuqZ9QWkfSw. He H,Lin K,Wu ZL,et al.Recommendations for anesthesia in patients with suspected or confirmed novel coronavirus pneumonia[EB/OL].(2020-02-04)[2020-02-10].https://mp.weixin.qq.com/s/BdpFEl-Ciq9IuqZ9QWkfSw.
2 中华人民共和国卫生健康委员会.医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)(2020-01-23)[2020-02-10].http://www.nhc.gov.cn/xcs/yqfkdt/202001/b91fdab7c304431eb082d 67847d27e14.shtml. National Health Commission.Technical Guideline for Prevention and Control of Novel Coronavirus Infections at Medical Institutions (First Edition)(2020-01-23)[2020-02-10].http://www.nhc.gov.cn/xcs/yqfkdt/202001/b91fdab7c304431eb082d67847d27e14.shtml.
3 Chen,Z,Fu,J,Shu,Q.New coronavirus:new challenges for pediatricians[J].World J Pediatr,2020.https://doi.org/10.1007/s12519-020-00346-4.
4 国家卫生与健康委员会.新型冠状病毒肺炎诊疗方案(试行第六版)[EB/OL].(2020-02-18)[2020-02-10]. http://www.nhc.gov.cn/yzygj/s7652m/202002/54e1ad5c2aac45c19eb541799bf637e9.shtml. National Health and Health Commission:Diagnosis and Treatment Protocol for Novel Coronavirus Pneumonia(Trial Version VI)[EB/OL].(2020-02-18)[2020-02-10]. http://www.nhc.gov.cn/yzygj/s7652m/202002/54e1ad5c2aac45c19eb541799bf637e9.shtml.
5 方峰,罗小平.面对2019新型冠状病毒感染重大疫情:儿科医生的思考[J/OL].中华儿科杂志,2020,58.DOI:10.3760/cma.j.issn.0578-1310.2020.02.001. Fang F,Luo XP.Responding to the pandemic of 2019 novel coronavirus infections:pediatric perspectives[J].Chin J Pediatr,2020,58.DOI:10.3760/cma.j.issn.0578-1310.2020.02.001.
6 北京市临床麻醉质量控制和改进中心专家组.麻醉科防控新型冠状病毒肺炎工作建议(第1版)[J].麻醉安全与质控,2020,4(2):1-4.DOI:10.3969/j.issn.2096-2681.2020. Expert Group of Beijing Center for Quality Control and Improvement of Clinical Anesthesia.Recommendations for Prevention and Control of Novel Coronavirus Pneumonia in Anesthesiology (First Edition)[J].Perioperative Safety and Quality Assurance,2020,4(2):1-4.DOI:10.3969/j.issn.2096-2681.2020.
7 陈锋,刘智胜,张芙蓉等.中国首例儿童危重型新型冠状病毒肺炎[J].中华儿科杂志,2020,58.DOI:10.3760/cma.j.issn.0578-1310.2020.0005. Chen F,Liu ZS,Zhang FR,et al.First case of severe childhood novel coronavirus pneumonia in China[J].Chin J Pediatr,2020,58.DOI:10.3760/cma.j.issn.0578-1310.2020.0005.
8 陈思,史嘉玮,夏家红,等.心血管外科急诊手术合并新型冠状病毒感染管理策略[J].中国胸心血管外科临床杂志,2020,27(3):243-245.DOI:10.7507/1007-4848.202002013. Chen S,Shi JW,Xia JH,et al.Management strategy of novel coronavirus infection during emergency cardiovascular surgery[J].Chinese Journal of Thoracic and Cardiovascular Surgery,2020,27(3):243-245.DOI:10.7507/1007-4848.202002013.
9 陈志敏,傅君芬,舒强,等.儿童2019新型冠状病毒感染的诊疗指南(第二版)[J].浙江大学学报(医学版),2020,2.DOI:10.3785/j.issn.1008-9292.2020.02.01. Chen ZM,Fu JF,Shu Q,et al.Diagnosis and treatment guidelines for pediatric coronavirus disease-19 (Second Edition)[J].Journal of Zhejiang University (Medical Sciences),2020.2.DOI:10.3785/j.issn.1008-9292.2020.02.01.
相似文献/References:
[1]贾杰,胡祖荣,邓恋,等.瑞芬太尼复合七氟醚在新生儿全身麻醉中的应用[J].临床小儿外科杂志,2010,9(06):464.
[2]欧阳帆,张治明,曾宾,等.七氟醚复合髂腹股沟-髂腹下神经阻滞用于小儿腹股沟手术[J].临床小儿外科杂志,2010,9(06):466.
[3]徐华,赵陶丽.瑞芬太尼对小儿等离子刀扁桃体腺样体切除术应激反应的影响[J].临床小儿外科杂志,2010,9(06):468.
[4]张建敏王芳吕红.丙泊酚复合瑞芬太尼静脉麻醉在儿童纤维结肠镜检查中的应用[J].临床小儿外科杂志,2011,10(01):0.
[5]刘涌王正坤叶玉萍谢威武建.舒芬太尼和芬太尼用于小儿腹腔镜手术麻醉的比较[J].临床小儿外科杂志,2010,9(03):0.
[6]姚玉笙,陈本祯,谭玲,等.不同材质喉罩用于氧化亚氮全麻时囊内压值观察[J].临床小儿外科杂志,2008,7(05):1.
[7]康承斌,张安生,黄凌鲲,等.小儿尿道下裂矫形术中不同麻醉方式麻醉效果比较[J].临床小儿外科杂志,2008,7(05):1.
[8]周星星,张溪英,屈双权,等.90例新生儿急腹症麻醉处理体会[J].临床小儿外科杂志,2008,7(05):1.
[9]郑洪,谭朝华.喉罩下吸入麻醉加骶麻在小儿尿道下裂成形术中的应用[J].临床小儿外科杂志,2007,6(01):17.
[10]邱永升,贾英萍,梁郑,等.先天性脐膨出、腹裂患儿的围术期管理[J].临床小儿外科杂志,2007,6(02):23.
备注/Memo
收稿日期:2020-02-21。
基金项目:浙江大学新型冠状病毒肺炎(COVID-19)应急科研专项资金资助
通讯作者:舒强,Email:shuqiang@zju.edu.cn