專題討論9:兒童呼吸道手術最新進展
       Updated Pediatric Airway Surgery-State of the Arts

程 序 表

S9-1
兒童呼吸道手術麻醉之最新進展
范守仁
恩主公醫院麻醉科

  本次演講內容除了包含小兒氣道手術的傳統麻醉處理,並且介紹高流量鼻導管HFNC在氣道手術的使用[1, 2],最新的短效Benzodiazepine 藥物 Remimazolam 在小兒氣道手術的應用[3] ,超音波[4]在氣道處理的應用包含CTM 的確認[5]及NPO 在小兒空腹時間的指引[6]。
[1] S. Humphreys, A. Schibler, Nasal high-flow oxygen in pediatric anesthesia and airway management, Paediatric anaesthesia 30(3) (2020) 339-346.
[2] J.Y. Ji, E.H. Kim, J.H. Lee, Y.E. Jang, H.S. Kim, S.K. Kwon, Pediatric airway surgery under spontaneous respiration using high-flow nasal oxygen, Int J Pediatr Otorhinolaryngol 134 (2020) 110042.
[3] N.J. Pastis, L.B. Yarmus, F. Schippers, R. Ostroff, A. Chen, J. Akulian, M. Wahidi, S. Shojaee, N.T. Tanner, S.P. Callahan, G. Feldman, D.G. Lorch, Jr., I. Ndukwu, M.A. Pritchett, G.A. Silvestri, P. Investigators, Safety and Efficacy of Remimazolam Compared With Placebo and Midazolam for Moderate Sedation During Bronchoscopy, Chest 155(1) (2019) 137-146.
[4] L.M.D.F. Ji-Bin, F.P. Flemming, X.M.D. Jiajun, Y.L.B.A. Joyce, CMUT/CMOS-based Butterfly iQ - A Portable Personal Sonoscope, Advanced Ultrasound in Diagnosis and Therapy 3(3) (2019).
[5] K.C. Hung, I.W. Chen, C.M. Lin, C.K. Sun, Comparison between ultrasound-guided and digital palpation techniques for identification of the cricothyroid membrane: a meta-analysis, British journal of anaesthesia 126(1) (2021) e9-e11.
[6] J.J. Lee, J.C. Price, A. Duren, A. Shertzer, R. Hannum, F.A. Akita, S. Wang, J.H. Squires, O. Panzer, J. Herrera, L.S. Sun, N.A. Davis, Ultrasound Evaluation of Gastric Emptying Time in Healthy Term Neonates after Formula Feeding, Anesthesiology 134(6) (2021) 845-851.