Laryngeal reflex responses in pediatric anesthesia

被引：4

作者：

Erb, Thomas O. ^{[1
]}

Trachsel, Daniel ^{[2
]}

von Ungern-Sternberg, Britta S. ^{[3
,4
,5
]}

机构：

[1] Univ Basel, Childrens Hosp UKBB, Dept Anesthesiol, Spitalstr 33, CH-4031 Basel, Switzerland

[2] Univ Basel, Pediat Intens Care & Pulmonol, Childrens Hosp UKBB, Basel, Switzerland

[3] Perth Childrens Hosp, Dept Anaesthesia & Pain Management, Perth, WA, Australia

[4] Univ Western Australia, Med Sch, Perth, WA, Australia

[5] Telethon Kids Inst, Perth, WA, Australia

来源：

PEDIATRIC ANESTHESIA | 2020年 / 30卷 / 03期

关键词：

adverse events; airway; child; complications; general anesthesia; NUCLEUS-TRACTUS-SOLITARIUS; INTRAVENOUS LIDOCAINE; AIRWAY REFLEXES; ADVERSE EVENTS; SUBSTANCE-P; LARYNGOSPASM; CHILDREN; SEVOFLURANE; FENTANYL; COUGH;

D O I：

10.1111/pan.13807

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Laryngeal and respiratory reflexes are vitally important defense mechanisms against foreign body aspiration, safeguarding airway patency, and ventilation. These highly preserved automatisms easily overrule external influences like willpower or (anesthetic) medication. Prevention and anticipation are, therefore, the essential strategies to avoid adverse events and damage, and treatment is most effective in the early stage of the reflex response. The physiology and pathophysiology of the various defensive reflexes as well as a comprehensive anesthetic approach to prevention and treatment are outlined in this review.

引用

页码：353 / 361

页数：9

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