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Anästhesie bei Kindern

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Zusammenfassung

Kinder haben im Vergleich zu Erwachsenen anatomische, physiologische und psychologische Besonderheiten. Zudem sind Kinder relativ seltene Patienten in der Anästhesie: mangelnde Erfahrung und fehlende Routine in der Versorgung von Kindern können die Komplikationsrate erhöhen. Theoretisches Wissen, regelmäßige praktische Tätigkeit sowie das Trainieren von Notfallsituationen sind hilfreich, diese Patientengruppe kompetent anästhesiologisch zu versorgen.

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Literatur

  1. Hardman JG, Wills JS (2006) The development of hypoxaemia during apnoea in children: a computational modelling investigation. Brit J Anaesth 97:564–570

    Article  CAS  PubMed  Google Scholar 

  2. Tillmann B (2009) Atlas der Anatomie des Menschen. 2. überarb. Aufl. Springer, Berlin/Heidelberg

    Google Scholar 

  3. Jevtovic-Todorovic V, Hartman RE, Izumi Y et al (2003) Early exposure to common anesthetic agents causes widespread neurodegeneration in the developing rat brain and persistent leading deficits. J Neurosci 23:876–882

    Article  CAS  PubMed  Google Scholar 

  4. Wilder RT, Flick RP, Sprung J et al (2009) Early exposure to anesthesia and learning disabilities in a population-based birth cohort. Anesthesiology 110:796–804

    Article  PubMed  PubMed Central  Google Scholar 

  5. Hansen TG (2015) Anesthesia-related neurotoxicity and the developing animal brain is not a significant problem in children. Pediatr Anesth 25:65–72

    Article  Google Scholar 

  6. Jevtovic-Todorovic V, Absalom AR, Blomgren K, Brambrink A, Crosby G, Culley DJ, Fiskum G, Giffard RG, Herold KF, Loepke AW, Ma D, Orser BA, Planel E, Slikker W Jr, Soriano SG, Stratmann G, Vutskits L, Xie Z, Hemmings HC Jr (2013) Anaesthetic neurotoxicity and neuroplasticity: an expert group report and statement based on the BJA Salzburg Seminar. Br J Anaesth 111:143–151

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Weiss M, Engelhardt T, Hansen TG, Vutskits L (2015) Safe anaesthesia for every tot. The SAFETOTS initiative. Curr Opin Anesthesiol 28(3):302–307. www.safetots.org. Zugegriffen am 03.05.2018

    Article  CAS  PubMed  Google Scholar 

  8. Brady M, Kinn S, O’Rourke K et al (2005) Preoperative fasting for preventing perioperative complications in children. Cochrane Database Syst Rev 18:2

    Google Scholar 

  9. Kain ZN, Wang SM, Mayes LC et al (1999) Distress during the induction of anaesthesia and postoperative behavioural outcomes. Anesth Analg 88:1042–1047

    Article  CAS  PubMed  Google Scholar 

  10. Marhofer P, Freitag H, Höchtl A et al (2001) S(+)-Ketamine for rectal premedication. Anesth Analg 92:62–65

    Article  CAS  PubMed  Google Scholar 

  11. Weber F, Wulf H, el Saeidi G (2003) Premedication with nasal s-ketamine and midazolam provides good conditions for induction of anesthesia in preschool children. Can J Anesth 50:470–475

    Article  PubMed  Google Scholar 

  12. Bergendahl H, Lönnqvist PA, Eksborg S (2006) Clonidine in paediatric anaesthesia: review of the literature and comparison with benzodiazepines for premedication. Acta Anaesthesiol Scand 50:135–143

    Article  CAS  PubMed  Google Scholar 

  13. Dahmani S, Brasher C, Stany I et al (2010) Premedication with clonidine is superior to benzodiazepines. A meta analysis of published studies. Acta Anaesthesiol Scand 54:397–402

    Article  CAS  PubMed  Google Scholar 

  14. Stevens B, Yamada J, Ohlsson A (2004) Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database Syst Rev 3:CD001069

    Google Scholar 

  15. Kain ZN, Mayes LC, Caramico LA et al (1996) Parental presence during induction of anesthesia. A randomized controlled trial. Anesthesiology 84:1060–1067

    Article  CAS  PubMed  Google Scholar 

  16. DGAI, BDA (2013) Mindestanforderungen an den anästhesiologischen Arbeitsplatz. Anästh Intensivmed 54:39–42

    Google Scholar 

  17. Berger TM, Stocker M (2004) Beatmung von Neugeborenen und Säuglingen. Anaesthesist 53:690–701

    Article  CAS  PubMed  Google Scholar 

  18. Goedecke A von, Voelckel WG, Wenzel V et al. (2004) Mechanical versus manual ventilation via a face mask during the induction of anesthesia: a prospective, randomized, crossover study. Anesth Analg 98:260–263

    Google Scholar 

  19. Lerman J, Jöhr M (2009) Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia. Pediatr Anesth 19:521–534

    Article  Google Scholar 

  20. Gravningsbraten R, Nicklasson B, Raeder J (2009) Safety of laryngeal mask airway and short-stay practice in office-based adenotonsillectomy. Acta Anaesthesiol Scand 53:218–222

    Article  CAS  PubMed  Google Scholar 

  21. Warner MA, Warner ME, Warner DO et al (1999) Perioperative pulmonary aspiration in infants and children. Anesthesiology 90:66–71

    Article  CAS  PubMed  Google Scholar 

  22. Becke K, Schmidt J (2007) Rapid Sequence Induction im Kindesalter. Anästhesiol Intensivmed Notfallmed Schmerzther 42:624–631

    Article  PubMed  Google Scholar 

  23. Brock-Utne JG (2002) Is cricoid pressure necessary? Pediatr Anesth 12:1–4

    Article  CAS  Google Scholar 

  24. Morrison JE, Collier E, Friesen RH et al (1998) Preoxygenation before laryngoscopy in children: how long is enough? Pediatr Anaesth 8:293–298

    Article  Google Scholar 

  25. Mani V, Morton N (2010) Overview of total intravenous anesthesia in children. Pediatr Anesth 78:468–473

    Google Scholar 

  26. Boretsky KR (2014) Regional anesthesia in pediatrics: marching foward. Curr Opin Anesthesiol 27:556–560

    Article  CAS  Google Scholar 

  27. Polaner DM, Taenzer AH, Walker BJ et al (2012) Pediatric regional anesthesia network (PRAN): a multi-institutional study of the use and incidence of complications of pediatric regional anesthesia. Anesth Analg 115:1353–1364

    Article  CAS  PubMed  Google Scholar 

  28. Taenzer AH, Walker BJ, Bosenberg AH et al (2014) Asleep versus awake: does it matter? Pediatric regional block complications by patients state: a report from the pediatric regional anesthesia network. Reg Anesth Pain Med 39:279–283

    Article  PubMed  Google Scholar 

  29. Ecoffey C, Lacroix F, Giaufré E et al (2010) Epidemiology and morbidity of regional anesthesia in children: a follow-up one-year prospective survey of the French-Language Society of Pediatric Anaesthesiologists (ADARPEF). Paediatr Anaesth 20:1061–1069

    Article  PubMed  Google Scholar 

  30. Lönnqvist PA, Morton N, Ross AK (2009) Consent issues and pediatric regional anesthesia. Pediatr Anesth 19:958–960

    Article  Google Scholar 

  31. Shah RD, Suresh S (2013) Application of regional anesthesia in pediatrics. Br J Anesth 11(Si):i114–i124

    Article  Google Scholar 

  32. Lönnqvist PA (2015) Adjuncts should always be used in pediatric regional anesthesia. Pediatr Anesth 25:100–106

    Article  Google Scholar 

  33. Marhofer P, Kapral S (2006) The use of ultrasonography for pediatric regional anesthesia. Anästh Intensivmed Notfallmed Schmerzther 41:178–183

    Article  CAS  Google Scholar 

  34. Roberts S (2006) Ultrasonographic guidance in pediatric regional anesthesia. Part 2: techniques. Pediatr Anesth 16:1112–1124

    Article  Google Scholar 

  35. Tsui BC, Suresh S (2010) Ultrasound imaging of regional anesthesia in infants, children and adolescents: a review of current literature and its application in the practice of neuraxial blocks. Anesthesiology 112:719–728

    Article  PubMed  Google Scholar 

  36. Benz-Wörner J, Jöhr M (2013) Regional anaesthesia in children – caudal anaesthesia and trunk blocks. Anästhesiol Intensivmed Notfallmed Schmerzther 48(4):272–277

    Article  Google Scholar 

  37. Giannoni C, White S, Enneking FK et al (2001) Ropivacaine with or without clonidine improves pediatric tonsillectomy pain. Arch Otolaryngol Head Neck Surg 127:1265–1270

    Article  CAS  PubMed  Google Scholar 

  38. Höhne C (2007) Regionalanästhesie bei Früh- und Neugeborenen, Säuglingen und Kleinkindern. Anästhesiol Intensivmed Notfallmed Schmerzther 42:616–622

    Article  PubMed  Google Scholar 

  39. Craven PD, Badawi N, Henderson-Smart DJ et al (2003) Regional versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. Cochrane Database Syst Rev 3:CD003669

    Google Scholar 

  40. Gupta A, Sha U (2014) Spinal anesthesia in children: a review. J Anesthesiol Clin Pharmacol 30:10–18

    Article  Google Scholar 

  41. Dahmani S, Stany I, Brasher C et al (2010a) Pharmacological prevention of sevoflurane- and desflurane-related emergence agitation in children: a meta-analysis of published studies. Br J Anaesth 104:216–223

    Article  CAS  PubMed  Google Scholar 

  42. Becke K (2014) Complications in pediatric anesthesia. Anästhesist 63:548–554

    Article  CAS  Google Scholar 

  43. Becke K, Kranke P, Weiss M et al (2007a) Handlungsempfehlung zur Risikoeinschätzung, Prophylaxe und Therapie von postoperativem Erbrechen im Kindesalter. Anästh Intensivmed 48:S95–S98

    Google Scholar 

  44. Rüsch D, Eberhart LH, Wallenborn J et al (2010) Nausea and vomiting after surgery under general anesthesia – an evidence-based review concerning risk assessment, prevention, and treatment. Dtsch Arztebl Int 107:733–741

    PubMed  PubMed Central  Google Scholar 

  45. Höhne C (2014) Postoperative nausea and vomiting in pediatric anesthesia. Curr Opin Anesthesiol 27:303–308

    Article  CAS  Google Scholar 

  46. Erdös D, Kunde M, Tzanova I et al (2005) Anästhesiologisches Management bei mediastinaler Raumforderung. Anästhesist 54:1215–1228

    Article  Google Scholar 

  47. Morton NS, O´Brien K (1999) Analgesic efficacy of paracetamol and diclofenac in children receiving PCA morphine. Br J Anaesth 82:715–717

    Article  CAS  PubMed  Google Scholar 

  48. Sittl R, Grießinger N, Koppert W et al (2000) Postoperative Schmerztherapie bei Kindern und Jugendlichen. Schmerz 14:333–339

    Article  CAS  PubMed  Google Scholar 

  49. Zernikow B, Hechler T (2008) Schmerztherapie bei Kindern und Jugendlichen. Dtsch Arztebl 105:511–522

    Google Scholar 

  50. Gerbershagen HJ, Aduckathil S, van Wijck AJ et al (2013) Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology 118:934–944

    Article  PubMed  Google Scholar 

  51. Anderson BJ (2008) Paracetamol (acetaminophen): mechanisms of action. Paediatr Anaesth 18:915–921

    Article  PubMed  Google Scholar 

  52. Lönnqvist PA, Morton NS (2005) Postoperative analgesia in infants and children. Br J Anaesth 95:59–68

    Article  CAS  PubMed  Google Scholar 

  53. Schultz-Machata AM, Weiss M, Becke K (2014) What is new in pediatric acute pain therapy? Curr Opin Anesthesiol 27:316–322

    Article  Google Scholar 

  54. Strauß JM, Sümpelmann R (2013) Infusionstherapie bei Säuglingen und Kleinkindern. AINS 48:264–270

    PubMed  Google Scholar 

  55. Steuerer MA, Berger TM (2011) Infusionstherapie bei Neugeborenen, Säuglingen und Kindern. Anästhesist 60:10–20

    Article  CAS  Google Scholar 

  56. Beck CE (2007) Hypotonic versus isotonic maintenance intravenous fluid therapy in hospitalized children: a systematic review. Clin Pediatr 46:764–770

    Article  Google Scholar 

  57. Moritz ML, Ayus JC (2007) Hospital-acquired hyponatremia – why are hypotonic parenteral fluids still being used? Nat Clin Pract Nephrol 3:374–382

    Article  CAS  PubMed  Google Scholar 

  58. Sümpelmann R, Mader T, Eich C et al (2010) A novel isotonic-balanced electrolyte solution with 1 % glucose for intraoperative fluid therapy in children: results of a prospective multicentre observational post-authorization safety study (PASS). Pediatr Anesth 20:977–981

    Article  PubMed  Google Scholar 

  59. Tait AR, Malviya S, Voepel-Lewis T et al (2001) Risk factors for perioperative adverse respiratory events in children with upper airway tract infection. Anesthesiology 95:299–306

    Article  CAS  PubMed  Google Scholar 

  60. Ungern-Sternberg BS von, Boda K, Chambers NA et al (2010) Risk assessment for respiratory complications in pediatric anesthesia: a prospective cohort study. Lancet 376:773–783

    Google Scholar 

  61. Becke K (2014) Das Kind mit einem Atemwegsinfekt. AINS 49:162–167

    PubMed  Google Scholar 

  62. Becke K, Giest J, Strauß J et al (2007b) Handlungsempfehlungen zur präoperativen Diagnostik, Impfabstand und Nüchternheit im Kindesalter. Anästh Intensivmed 48:62–66

    Google Scholar 

  63. Siebert JN, Posfay-Barbe KM, Habre W et al (2007) Influence of anesthesia on immune responses and its effects on vaccination in children: review of evidence. Pediatr Anesth 17:410–420

    Article  CAS  Google Scholar 

  64. Doherty GM, Chisakuta A, Crean P et al (2005) Anesthesia and the child with asthma. Pediatr Anesth 15:446–454

    Article  Google Scholar 

  65. Regli A, von Ungern-Sternberg B (2014) Anesthesia and ventilation strategies in children with asthma: Part II – intraoperative management. Curr Opin Anesthesiol 27:295–302

    Article  CAS  Google Scholar 

  66. National heart lung and blood institute (2007) Guidelines for the diagnosis and management of asthma. http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm. Zugegriffen am 07.10.2011

  67. Dütschke P, Scheewe J, Bein B (2007) Anästhesie bei kongenitalen Herzfehlern. Der herzchirurgische Korrektureingriff. Anästhesiol Intensivmed Notfallmed Schmerzther 11–12:804–812

    Article  Google Scholar 

  68. Schwarzenberger JC, Gogarten W (2007) Anästhesie bei kongenitalen Herzfehlern. Nichtherzchirurgische Eingriffe bei Kindern und Erwachsenen. Anästhesiol Intensivmed Notfallmed Schmerzther 11–12:822–831

    Article  Google Scholar 

  69. Baum VC, Barton DM, Gutgesell HP (2000) Influence of congenital heart disease on mortality after non-cardic-surgery in hospitalized children. Pediatrics 105:332–335

    Article  CAS  PubMed  Google Scholar 

  70. Naber CK (2007) Prophylaxe der infektiösen Endokarditis. Kardiologe 1:243–250

    Article  Google Scholar 

  71. Saricaoglu F, Celebi N, Celik M et al (2005) The evaluation of propofol dosage for anesthesia induction in children with cerebral palsy with bispectral index (BIS) monitoring. Pediatr Anesth 15:1048–1052

    CAS  Google Scholar 

  72. Ghai B, Makkar JK, Wig J (2008) Postoperative pain assessment in preverbal children and children with cognitive impairment. Pediatr Anesth 18:462–477

    Article  Google Scholar 

  73. Koh JL, Fanurik D, Harrison RD et al (2004) Analgesia following surgery in children with cognitive impairment. Pain 11:239–244

    Article  Google Scholar 

  74. Tait AR, Voepel-Lewis T, Burke C et al (2010) Anesthesia induction, emergence, and postoperative behaviors in children with attention-deficit/hyperactivity disorders. Pediatr Anesth 20:323–329

    Article  Google Scholar 

  75. Ren WHP (2009) Anesthetic management of epileptic pediatric patients. Int Anesthesiol Clin 47:101–116

    Article  PubMed  Google Scholar 

  76. Anghelescu DL, Burgoyne LL, Liu T et al (2007) Clinical and diagnostic imaging findings predict anesthestic complications in children presenting with malignant mediastinal masses. Pediatr Anesth 17:1090–1098

    Google Scholar 

  77. Herbst A, Kiess W (2007) Diabetes mellitus Typ I. Anästhesist 56:454–460

    Article  CAS  Google Scholar 

  78. Rhodes ET, Ferrari LR, Wolfsdorf JI et al (2005) Perioperative management of pediatric surgical patients with diabetes mellitus. Anesth Analg 101:986–999

    Article  PubMed  Google Scholar 

  79. Baum VC, JE O´F (2007) Anesthesia for genetic, metabolic, and dysmorphic syndromes of childhood, 2. Aufl. Lippincott Williams Wilkins, Philadelphia

    Google Scholar 

  80. Bolton-Maggs PH, Pasi KJ (2003) Haemophilias A and B. Lancet 361:1801–1809

    Article  CAS  PubMed  Google Scholar 

  81. Manucci PM (2004) Treatment of von Willebrand´s disease. N Engl J Med 351:683–694

    Article  Google Scholar 

  82. Flick RP, Gleich SJ, Herr MM et al (2007) The risk of malignant hyperthermia in children undergoing muscle biopsy for suspected neuromuscular disorder. Pediatr Anesth 17:22–27

    Article  Google Scholar 

  83. Hayes J, Veyckemans F, Bissonnette B et al (2008) Duchenne muscular dystrophy: an old anesthesia problem revisited. Pediatr Anesth 18:100–106

    Article  Google Scholar 

  84. Kinouchi K (2004) Anaesthetic considerations for the management of very low and extremely low birth weight infants. Best Pract Res Clin Anesthesiology 18:273–290

    Article  Google Scholar 

  85. Cote CJ, Zaslavsky A, Downes JJ et al (1995) Postoperative apnea in former preterm infants after inguinal herniorrhaphy. A combined analysis. Anesthesiology 82:809–822

    Article  CAS  PubMed  Google Scholar 

  86. Breschan C, Likar R (2006) Anesthetic management of surgery in term and preterm infants. Anaesthesist 55:1087–1098

    Article  CAS  PubMed  Google Scholar 

  87. Krosnar S, Baxter A (2005) Thoracoscopic repair of esophageal atresia with tracheoesophageal fistula: anesthetic and intensive care management of a series of eight neonates. Pediatr Anesth 15:541–546

    Article  Google Scholar 

  88. Bohn D (2002) Congenital diaphragmatic hernia. Am J Respir Crit Care Med 166:911–915

    Article  PubMed  Google Scholar 

  89. Brown RA (2007) Evolving management of congenital diaphragmatic hernia. Pediatr Anesth 17:713–719

    Article  Google Scholar 

  90. Weber TR, Au-Fliegner M, Downard CD et al (2002) Abdominal wall defects. Curr Opin Pediatr 14:491–497

    Article  PubMed  Google Scholar 

  91. Brustia L, Preseglio I, Adduci D et al (1993) Anesthesia in the surgical repair of myelomeningocele. Minerva Anestesiol 59:853–856

    PubMed  CAS  Google Scholar 

  92. Feldman JM, Kalli I (2006) Equipment and environ mental issues for nonoperating room anesthesia. Curr Opin Anaesthesiol 19:450–452

    Article  PubMed  Google Scholar 

  93. Guidelines for monitoring and management for pediatric anesthesia sedation (2008) Pediatr Anesth 18:9–10

    Google Scholar 

  94. Dalal PG, Murray D, Cox T et al (2006) Sedation and anesthesia protocols used for magnetic resonance imaging studies in infants: provider and pharmacologic considerations. Anesth Analg 103:863–868

    Article  CAS  PubMed  Google Scholar 

  95. Pershad J, Wan J, Anghelescu DL (2007) Comparison of propofol with pentobarbital/midazolam/fentanyl sedation for magnetic resonance imaging of the brain in children. Pediatrics 120:e629–e636

    Article  PubMed  Google Scholar 

  96. Reyle-Hahn M, Niggemann B, Max M et al (2000) Remifentanil and propofol for sedation in children and young adolescents undergoing diagnostic flexible bronchoscopy. Pediatr Anesth 10:59–63

    Article  CAS  Google Scholar 

  97. Antmen B, Saşmaz I, Birbiçer H et al (2005) Safe and effective sedation and analgesic for bone marrow aspiration procedures in children with alfentanil, remifentanil and combination with midazolam. Pediatr Anesth 15:214–219

    Article  Google Scholar 

  98. Evans D, Turnham L, Barbour K et al (2005) Intravenous ketamine sedation for painful oncology procedures. Pediatr Anesth 15:131–138

    Article  Google Scholar 

  99. Holdsworth MT, Raisch DW, Winter SS et al (2003) Pain and distress from bone marrow and lumbar punctures. Ann Pharmacother 37:17–22

    Article  CAS  PubMed  Google Scholar 

  100. Bein B, Renner J (2007) Anästhesie bei kongenitalen Herzfehlern. Herzkatheterisierung in der pädiatrischen Kardiologie. Anästhesiol Intensivmed Notfallmed Schmerzther 11-12:814–820

    Article  Google Scholar 

  101. AWMF 001/018: S3-Leitlinie Vermeidung von perioperativer Hypothermie 2014

    Google Scholar 

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Correspondence to Karin Becke .

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Becke, K., Reyle-Hahn, SM., Höhne, C. (2018). Anästhesie bei Kindern. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45539-5_85-1

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