دانلود مقاله با موضوع به روز رسانی در مورد ایمنی بیهوشی در جوانان کودکان
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موضوع به انگلیسی:Update on the safety of anesthesia in young
children presenting for adenotonsillectomy
بخشی از متن:Abstract Tonsillectomy with and without adenoidectomy is a frequently performed surgical
procedure in children. Although a common procedure, it is not without significant risk. It is
critical for anesthesiologists to consider preoperative, intraoperative, and postoperative patient
factors and events to optimize safety, especially in young children. In the majority of
cases, the indication for adenotonsillectomy in young children is obstructive breathing. Preoperative
evaluation for patient comorbidities, especially obstructive sleep apnea, risk factors
for a difficult airway, and history of recent illness are crucial to prepare the patient for surgery
and develop an anesthetic plan. Communication and collaboration with the otolaryngologist is
key to prevent and treat intraoperative events such as airway fires or hemorrhage. Postoperative
analgesia planning is critical for safe pain control especially for those patients with a history
of obstructive sleep apnea and opioid sensitivity. In young children, it is important to also
consider the impact of anesthetic medications on the developing brain. This is an area of
continuing research but needs to be weighed when planning for surgical treatment and when
discussing risks and benefits with patients’ families.