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Several hot topics of last year's Anesthesia Week 1.
Children's comfortable medical treatment 2.
Childbirth analgesia 3.
Opening ceremony 4.
Airway intervention in the morning session The first session: Director Yang Xudong of Peking University Stomatological Hospital, Chu Liyan of Tongren Hospital Director Xia Bin, Director of Pediatrics of Peking University, Session 2: Director Zhang Jianmin of Children's Hospital of Shouyi Medical University, Director Ni Cheng of Cancer Hospital and Director Zhang Jing of Gastroenterology Department of Children's Hospital brought to you the problem of children's anesthesia that many people are concerned about and reduce the perimeter of children Anxiety and tension during surgery, advocating child-centered comfortable medical care, has always been the hot spot and development trend of pediatric anesthesiology in China
.
Main points of concern 1.
Will general anesthesia affect other organs of the child's body and damage the cranial nerves? Does it make people stupid? The literature shows that if it is not received at a very young age for many long periods of anesthesia, the brain will not affect intellectual development
.
(The negative results from the GAS study at least prove that short-term surgical anesthesia has little effect on children under three years of age.
) The current anesthetic drugs are short-acting, safe to use, have low toxicity, and can be metabolized
.
Oral analgesia for children is the number one priority.
If the stomatologist is particularly good at local anesthesia, we will reduce the dose a lot.
2.
Does general anesthesia require intubation? The primary task is to control the airway.
Children's oral treatment often adopts nasal endotracheal intubation or no intubation to preserve spontaneous breathing in the recovery room.
Communicate with parents about postoperative related matters.
Due to their unique anatomical and physiological characteristics, children may not undergo anesthesia during anesthesia.
Airway obstruction or respiratory depression is prone to occur.
The first principle of anesthesia is to choose an anesthesia method that can keep the airway open and facilitate breathing control
.
At present, in addition to standard monitoring such as electrocardiogram, non-invasive blood pressure, pulse oxygen saturation, and body temperature, indicators such as urine volume, inhaled oxygen concentration, anesthetic gas concentration, end-tidal carbon dioxide partial pressure, and anesthesia depth monitoring are also widely used in clinical practice.
Pediatric anesthesia and surgical safety are guaranteed
.
3.
Will it still hurt after surgery? During the operation, some analgesic drugs are added, and some drugs are given in a targeted manner.
For many years, clinicians have insufficient understanding of children's pain
.
In 2010, a study published by Anesthesiology showed that the use of PNCA multimodal analgesia in neonatal postoperative analgesia, combined with acetaminophen, can reduce the amount of fentanyl
.
In the afternoon, labor analgesia and nursing for newborns Intraspinal labor analgesia has become the most reliable and widely used analgesic effect at home and abroad, with an analgesic efficiency of more than 95%, which is the closest to the ideal analgesic method
.
In 2018, the National Health and Medical Commission issued a document No.
2018-1009: requiring nationwide pilot work on labor analgesia, requiring medical institutions above the second level to actively carry out intraspinal labor analgesia, and by the end of 2020 Labor analgesia ≥ 40%
.
Intraspinal labor analgesia will become the gospel of countless pregnant mothers
.
Question 1.
Are all mothers able to do labor analgesia? Most pregnant mothers can choose labor analgesia during labor, but it should be noted that labor analgesia also has contraindications! Before implementing labor analgesia, the anesthesiologist and obstetrician will comprehensively evaluate the condition of the mother and the fetus.
If the physical condition of the expectant mother does not meet the conditions for labor analgesia, such as a history of local trauma to the spine, abnormal coagulation function, etc.
, childbirth cannot be carried out.
Pain relief
.
Other modes of delivery and pain relief may be considered under the professional advice of a doctor
.
(1) Indications 1.
Parturients voluntarily; 2.
Those who can undergo vaginal birth trial after evaluation by an obstetrician (including scarred uterus, gestational hypertension and preeclampsia, etc.
)
.
(2) Contraindications 1.
Patients with intracranial hypertension caused by severe craniocerebral injury; 2.
Patients with abnormal coagulation function; 3.
Patients with puncture site and systemic infection; 4.
Uncorrected maternal hypovolemia; It cannot cooperate with the situation that affects the puncture operation
.
2.
Is labor analgesia just a single anaesthetic? What are the advantages and disadvantages? The latest medical research shows that labor pain relief is safe for both mother and baby
.
First of all, under the premise of reducing the pain of the expectant mother, the doctor will try to use as little medicine as possible
.
The dose of anesthetic for labor pain relief is about one-tenth that of a caesarean section
.
Secondly, most of the anesthetic drugs will be absorbed and metabolized after entering the body of the expectant mother, and the dose that finally reaches the baby's body is very limited, which will not cause harm to it, and has no effect on postpartum breastfeeding
.
3.
Labor analgesia and postpartum depression? Childbirth analgesia reduces the pain of pregnant mothers, which is beneficial to improve the mood of pregnant mothers
.
According to the survey, the use of labor analgesia is beneficial to reduce the rate of postpartum depression
.
[1][1] Epidural labor analgesia is associated with a decreased risk of postpartum depression: a prospective cohort study.
4.
Will there be sequelae of low back pain? No.
_
Postpartum low back pain is very common, and there are many reasons for it, such as the increased burden on the lumbar spine of pregnant women, ligament relaxation, special body position during childbirth, fatigue and other factors may cause low back pain
.
Anesthesiologists play painless, not the culprit of postpartum low back pain
.
In the afternoon, the opening ceremony of the anesthesia week, all the bigwigs gathered together to discuss the future of anesthesiology today's forecast
Children's comfortable medical treatment 2.
Childbirth analgesia 3.
Opening ceremony 4.
Airway intervention in the morning session The first session: Director Yang Xudong of Peking University Stomatological Hospital, Chu Liyan of Tongren Hospital Director Xia Bin, Director of Pediatrics of Peking University, Session 2: Director Zhang Jianmin of Children's Hospital of Shouyi Medical University, Director Ni Cheng of Cancer Hospital and Director Zhang Jing of Gastroenterology Department of Children's Hospital brought to you the problem of children's anesthesia that many people are concerned about and reduce the perimeter of children Anxiety and tension during surgery, advocating child-centered comfortable medical care, has always been the hot spot and development trend of pediatric anesthesiology in China
.
Main points of concern 1.
Will general anesthesia affect other organs of the child's body and damage the cranial nerves? Does it make people stupid? The literature shows that if it is not received at a very young age for many long periods of anesthesia, the brain will not affect intellectual development
.
(The negative results from the GAS study at least prove that short-term surgical anesthesia has little effect on children under three years of age.
) The current anesthetic drugs are short-acting, safe to use, have low toxicity, and can be metabolized
.
Oral analgesia for children is the number one priority.
If the stomatologist is particularly good at local anesthesia, we will reduce the dose a lot.
2.
Does general anesthesia require intubation? The primary task is to control the airway.
Children's oral treatment often adopts nasal endotracheal intubation or no intubation to preserve spontaneous breathing in the recovery room.
Communicate with parents about postoperative related matters.
Due to their unique anatomical and physiological characteristics, children may not undergo anesthesia during anesthesia.
Airway obstruction or respiratory depression is prone to occur.
The first principle of anesthesia is to choose an anesthesia method that can keep the airway open and facilitate breathing control
.
At present, in addition to standard monitoring such as electrocardiogram, non-invasive blood pressure, pulse oxygen saturation, and body temperature, indicators such as urine volume, inhaled oxygen concentration, anesthetic gas concentration, end-tidal carbon dioxide partial pressure, and anesthesia depth monitoring are also widely used in clinical practice.
Pediatric anesthesia and surgical safety are guaranteed
.
3.
Will it still hurt after surgery? During the operation, some analgesic drugs are added, and some drugs are given in a targeted manner.
For many years, clinicians have insufficient understanding of children's pain
.
In 2010, a study published by Anesthesiology showed that the use of PNCA multimodal analgesia in neonatal postoperative analgesia, combined with acetaminophen, can reduce the amount of fentanyl
.
In the afternoon, labor analgesia and nursing for newborns Intraspinal labor analgesia has become the most reliable and widely used analgesic effect at home and abroad, with an analgesic efficiency of more than 95%, which is the closest to the ideal analgesic method
.
In 2018, the National Health and Medical Commission issued a document No.
2018-1009: requiring nationwide pilot work on labor analgesia, requiring medical institutions above the second level to actively carry out intraspinal labor analgesia, and by the end of 2020 Labor analgesia ≥ 40%
.
Intraspinal labor analgesia will become the gospel of countless pregnant mothers
.
Question 1.
Are all mothers able to do labor analgesia? Most pregnant mothers can choose labor analgesia during labor, but it should be noted that labor analgesia also has contraindications! Before implementing labor analgesia, the anesthesiologist and obstetrician will comprehensively evaluate the condition of the mother and the fetus.
If the physical condition of the expectant mother does not meet the conditions for labor analgesia, such as a history of local trauma to the spine, abnormal coagulation function, etc.
, childbirth cannot be carried out.
Pain relief
.
Other modes of delivery and pain relief may be considered under the professional advice of a doctor
.
(1) Indications 1.
Parturients voluntarily; 2.
Those who can undergo vaginal birth trial after evaluation by an obstetrician (including scarred uterus, gestational hypertension and preeclampsia, etc.
)
.
(2) Contraindications 1.
Patients with intracranial hypertension caused by severe craniocerebral injury; 2.
Patients with abnormal coagulation function; 3.
Patients with puncture site and systemic infection; 4.
Uncorrected maternal hypovolemia; It cannot cooperate with the situation that affects the puncture operation
.
2.
Is labor analgesia just a single anaesthetic? What are the advantages and disadvantages? The latest medical research shows that labor pain relief is safe for both mother and baby
.
First of all, under the premise of reducing the pain of the expectant mother, the doctor will try to use as little medicine as possible
.
The dose of anesthetic for labor pain relief is about one-tenth that of a caesarean section
.
Secondly, most of the anesthetic drugs will be absorbed and metabolized after entering the body of the expectant mother, and the dose that finally reaches the baby's body is very limited, which will not cause harm to it, and has no effect on postpartum breastfeeding
.
3.
Labor analgesia and postpartum depression? Childbirth analgesia reduces the pain of pregnant mothers, which is beneficial to improve the mood of pregnant mothers
.
According to the survey, the use of labor analgesia is beneficial to reduce the rate of postpartum depression
.
[1][1] Epidural labor analgesia is associated with a decreased risk of postpartum depression: a prospective cohort study.
4.
Will there be sequelae of low back pain? No.
_
Postpartum low back pain is very common, and there are many reasons for it, such as the increased burden on the lumbar spine of pregnant women, ligament relaxation, special body position during childbirth, fatigue and other factors may cause low back pain
.
Anesthesiologists play painless, not the culprit of postpartum low back pain
.
In the afternoon, the opening ceremony of the anesthesia week, all the bigwigs gathered together to discuss the future of anesthesiology today's forecast
