Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 洪秀治教授 (麻醉及深切治疗学系) |
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| 没有全文档案提供 |
引用次数
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/2Scopus source URL
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摘要The development of new preoperative fasting guidelines in paediatrics was reviewed in the light of present knowledge and some recent investigations. Although the proportion of healthy children with the potential risk of aspiration pneumonitis is relatively high (60-75%), the incidence of aspiration is low--1 to 8.6 in 10,000. In healthy children, there is no increase in the risk of aspiration by allowing them to drink clear fluids up to http://aims.cuhk.edu.hk/converis/portal/Publication/2-3 hours before anaesthesia when compared with the conventional fasting regimen. The children are less thirsty and less irritable. The occurrence of hypoglycaemia and hypovolaemia in small infants may also be reduced. However, it is essential to identify high risk cases by clinical judgement and to treat them differently in their management. It is useful to have simple and explicit preoperative fasting instructions for parents to follow, especially in the day case setting. It is essential to note that the laryngeal mask airway (LMA) does not protect the patient's airway against the risk of regurgitation and aspiration of gastric contents in the same way as an endotracheal tube. Hence, constant vigilance is required when LMA is used in children.
着者Aun C.S.
期刊名称ANNALS ACADEMY OF MEDICINE SINGAPORE
出版年份1994
月份7
日期1
卷号http://aims.cuhk.edu.hk/converis/portal/Publication/23
期次4
出版社Academy of Medicine Singapore
出版地Singapore
页次57http://aims.cuhk.edu.hk/converis/portal/Publication/2 - 578
国际标準期刊号0304-460http://aims.cuhk.edu.hk/converis/portal/Publication/2
语言英式英语
