Beatmung in der Kinderanästhesie

Zusammenfassung

Kindernarkosen haben ein deutlich höheres Risiko für Komplikationen im Vergleich zu Anästhesien bei Erwachsenen. 9% aller Narkosen pro Jahr werden bei Kindern durchgeführt. Die intraoperative Beatmung von Neugeborenen, Säuglingen und Kleinkindern verlangt vom Anästhesisten eine adäquate Erfahrung, sorgfältige Ausführung und Expertise beim Management der möglichen Komplikationen. Dieser Beitrag bietet einen Überblick.

Abstract

About nine percent of all anesthesia procedures per year are performed in children. The risk for complications in pediatric anesthesia is higher in comparison with adults. There are significant differences in anatomy, physiology and pharmacology between pediatric and adult patients. Respiratory complications and circulations dysregulation occur more often in children. The most important consideration in the safe practice of pediatric anesthesia is to ensure a patent airway. Appropriate intraoperative management of newborns and infants needs a senior anesthetist with good knowledge and clinical experience including the management of possible complications.

Schlüsselwörter

Kinderanästhesie - Maskenbeatmung - endotracheale Intubation - Larynxmaske - Komplikationen

Key words

ventilation in children - respiratory complications - complications in pediatric anesthesia - safe practice of pediatric anesthesia - patent airway in children

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