小儿手术室外镇静深度监测进展.pdfVIP

鱼匿鏖鹾皇星越查2Q!璺生≥旦筮≥§鲞筮≥翅丛』逝吐墅塑!：丛!堡h垫!璺：Y!L篁：盟堂 ·综述· 小儿手术室外镇静深度监测进展 黄佳佳张马忠 【摘要】背景近年4,JL手术室外镇静需求增加迅速，如何为这些患儿提供安全有效的镇静和监测是麻醉医师必须关心 的问题。 目的总结目前各种,ddL手术室外镇静深度监测方法的优缺点及进展情况，为临床医师提供参考。内容传统 的评分系统将镇静深度相对量化，但有其局限性。脑电双频指数(bispectral 深度评估，随着镇静程度加深，BIS值显著下降。但在≤6月小婴儿及使用氯胺酮和阿片类药物行镇静时，其读数可能不甚可 靠。 趋向 目前国内d,JL镇静深度监测研究较少，BIS的应用有望指导麻醉医生更安全地实施镇静治疗。 【关键词】镇静监测；小儿；脑电双频指数 Currentstatusof the of sedationfor outsidethe room monitoringdepthprocedural pediatricpatients operatingHmmg ChildrensMedical Center，the 喇施，ZhangMazhong．DepartmentofAnesthesiology，Shanghai A历liatedHospitalofShanghai 200127，China JiaotongUniversity，Shanghai Corresponding∞thor：ZhangMazhong，Email：zmzscmc@shsmu．edu．crt Thedemandfor sedationserviceoutsidethe roomincreasedinrecent 【Abstract】Backgroundpediatric operating rapidly havetoconcernabouthowto safeandeffectivesedationand forthesechildren． years．Anesthesiologists provide monitoring Tosummarize and of of sedationoutsidethe Objective advantagesdisadvantagesdepthmonitoringpediatricprocedural operating to statusforclinical Traditional makesthe ofsedation room，and current provide anesthesiologists．Contentscoringsystem depth ithasits callbe and usedin the quantificationally。butlimitations．Bispectralindex(BIS)monitoringsafelyeffectivelyassessing sedationoutsidethe loom．BISvaluesdecreased whenthelevelofsedation depth operating significantly smallinfants 6monthsand withketamineand notbereliable．TrendItis than