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Anästhesie bei Kindern

  • Karin Becke
  • Stephan-Matthias Reyle-Hahn
  • Claudia Höhne
Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

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.

Literatur

  1. 1.
    Hardman JG, Wills JS (2006) The development of hypoxaemia during apnoea in children: a computational modelling investigation. Brit J Anaesth 97:564–570CrossRefPubMedGoogle Scholar
  2. 2.
    Tillmann B (2009) Atlas der Anatomie des Menschen. 2. überarb. Aufl. Springer, Berlin/HeidelbergGoogle Scholar
  3. 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 23:876–882CrossRefPubMedGoogle Scholar
  4. 4.
    Wilder RT, Flick RP, Sprung J et al (2009) Early exposure to anesthesia and learning disabilities in a population-based birth cohort. Anesthesiology 110:796–804CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Hansen TG (2015) Anesthesia-related neurotoxicity and the developing animal brain is not a significant problem in children. Pediatr Anesth 25:65–72CrossRefGoogle Scholar
  6. 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 111:143–151CrossRefPubMedPubMedCentralGoogle Scholar
  7. 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 03.05.2018CrossRefPubMedGoogle Scholar
  8. 8.
    Brady M, Kinn S, O’Rourke K et al (2005) Preoperative fasting for preventing perioperative complications in children. Cochrane Database Syst Rev 18:2Google Scholar
  9. 9.
    Kain ZN, Wang SM, Mayes LC et al (1999) Distress during the induction of anaesthesia and postoperative behavioural outcomes. Anesth Analg 88:1042–1047CrossRefPubMedGoogle Scholar
  10. 10.
    Marhofer P, Freitag H, Höchtl A et al (2001) S(+)-Ketamine for rectal premedication. Anesth Analg 92:62–65CrossRefPubMedGoogle Scholar
  11. 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 50:470–475CrossRefPubMedGoogle Scholar
  12. 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 50:135–143CrossRefPubMedGoogle Scholar
  13. 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 54:397–402CrossRefPubMedGoogle Scholar
  14. 14.
    Stevens B, Yamada J, Ohlsson A (2004) Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database Syst Rev 3:CD001069Google Scholar
  15. 15.
    Kain ZN, Mayes LC, Caramico LA et al (1996) Parental presence during induction of anesthesia. A randomized controlled trial. Anesthesiology 84:1060–1067CrossRefPubMedGoogle Scholar
  16. 16.
    DGAI, BDA (2013) Mindestanforderungen an den anästhesiologischen Arbeitsplatz. Anästh Intensivmed 54:39–42Google Scholar
  17. 17.
    Berger TM, Stocker M (2004) Beatmung von Neugeborenen und Säuglingen. Anaesthesist 53:690–701CrossRefPubMedGoogle Scholar
  18. 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 98:260–263Google Scholar
  19. 19.
    Lerman J, Jöhr M (2009) Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia. Pediatr Anesth 19:521–534CrossRefGoogle Scholar
  20. 20.
    Gravningsbraten R, Nicklasson B, Raeder J (2009) Safety of laryngeal mask airway and short-stay practice in office-based adenotonsillectomy. Acta Anaesthesiol Scand 53:218–222CrossRefPubMedGoogle Scholar
  21. 21.
    Warner MA, Warner ME, Warner DO et al (1999) Perioperative pulmonary aspiration in infants and children. Anesthesiology 90:66–71CrossRefPubMedGoogle Scholar
  22. 22.
    Becke K, Schmidt J (2007) Rapid Sequence Induction im Kindesalter. Anästhesiol Intensivmed Notfallmed Schmerzther 42:624–631CrossRefPubMedGoogle Scholar
  23. 23.
    Brock-Utne JG (2002) Is cricoid pressure necessary? Pediatr Anesth 12:1–4CrossRefGoogle Scholar
  24. 24.
    Morrison JE, Collier E, Friesen RH et al (1998) Preoxygenation before laryngoscopy in children: how long is enough? Pediatr Anaesth 8:293–298CrossRefGoogle Scholar
  25. 25.
    Mani V, Morton N (2010) Overview of total intravenous anesthesia in children. Pediatr Anesth 78:468–473Google Scholar
  26. 26.
    Boretsky KR (2014) Regional anesthesia in pediatrics: marching foward. Curr Opin Anesthesiol 27:556–560CrossRefGoogle Scholar
  27. 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 115:1353–1364CrossRefPubMedGoogle Scholar
  28. 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 39:279–283CrossRefPubMedGoogle Scholar
  29. 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 20:1061–1069CrossRefPubMedGoogle Scholar
  30. 30.
    Lönnqvist PA, Morton N, Ross AK (2009) Consent issues and pediatric regional anesthesia. Pediatr Anesth 19:958–960CrossRefGoogle Scholar
  31. 31.
    Shah RD, Suresh S (2013) Application of regional anesthesia in pediatrics. Br J Anesth 11(Si):i114–i124CrossRefGoogle Scholar
  32. 32.
    Lönnqvist PA (2015) Adjuncts should always be used in pediatric regional anesthesia. Pediatr Anesth 25:100–106CrossRefGoogle Scholar
  33. 33.
    Marhofer P, Kapral S (2006) The use of ultrasonography for pediatric regional anesthesia. Anästh Intensivmed Notfallmed Schmerzther 41:178–183CrossRefGoogle Scholar
  34. 34.
    Roberts S (2006) Ultrasonographic guidance in pediatric regional anesthesia. Part 2: techniques. Pediatr Anesth 16:1112–1124CrossRefGoogle Scholar
  35. 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 112:719–728CrossRefPubMedGoogle Scholar
  36. 36.
    Benz-Wörner J, Jöhr M (2013) Regional anaesthesia in children – caudal anaesthesia and trunk blocks. Anästhesiol Intensivmed Notfallmed Schmerzther 48(4):272–277CrossRefGoogle Scholar
  37. 37.
    Giannoni C, White S, Enneking FK et al (2001) Ropivacaine with or without clonidine improves pediatric tonsillectomy pain. Arch Otolaryngol Head Neck Surg 127:1265–1270CrossRefPubMedGoogle Scholar
  38. 38.
    Höhne C (2007) Regionalanästhesie bei Früh- und Neugeborenen, Säuglingen und Kleinkindern. Anästhesiol Intensivmed Notfallmed Schmerzther 42:616–622CrossRefPubMedGoogle Scholar
  39. 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:CD003669Google Scholar
  40. 40.
    Gupta A, Sha U (2014) Spinal anesthesia in children: a review. J Anesthesiol Clin Pharmacol 30:10–18CrossRefGoogle Scholar
  41. 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 104:216–223CrossRefPubMedGoogle Scholar
  42. 42.
    Becke K (2014) Complications in pediatric anesthesia. Anästhesist 63:548–554CrossRefGoogle Scholar
  43. 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–S98Google Scholar
  44. 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 107:733–741PubMedPubMedCentralGoogle Scholar
  45. 45.
    Höhne C (2014) Postoperative nausea and vomiting in pediatric anesthesia. Curr Opin Anesthesiol 27:303–308CrossRefGoogle Scholar
  46. 46.
    Erdös D, Kunde M, Tzanova I et al (2005) Anästhesiologisches Management bei mediastinaler Raumforderung. Anästhesist 54:1215–1228CrossRefGoogle Scholar
  47. 47.
    Morton NS, O´Brien K (1999) Analgesic efficacy of paracetamol and diclofenac in children receiving PCA morphine. Br J Anaesth 82:715–717CrossRefPubMedGoogle Scholar
  48. 48.
    Sittl R, Grießinger N, Koppert W et al (2000) Postoperative Schmerztherapie bei Kindern und Jugendlichen. Schmerz 14:333–339CrossRefPubMedGoogle Scholar
  49. 49.
    Zernikow B, Hechler T (2008) Schmerztherapie bei Kindern und Jugendlichen. Dtsch Arztebl 105:511–522Google Scholar
  50. 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 118:934–944CrossRefPubMedGoogle Scholar
  51. 51.
    Anderson BJ (2008) Paracetamol (acetaminophen): mechanisms of action. Paediatr Anaesth 18:915–921CrossRefPubMedGoogle Scholar
  52. 52.
    Lönnqvist PA, Morton NS (2005) Postoperative analgesia in infants and children. Br J Anaesth 95:59–68CrossRefPubMedGoogle Scholar
  53. 53.
    Schultz-Machata AM, Weiss M, Becke K (2014) What is new in pediatric acute pain therapy? Curr Opin Anesthesiol 27:316–322CrossRefGoogle Scholar
  54. 54.
    Strauß JM, Sümpelmann R (2013) Infusionstherapie bei Säuglingen und Kleinkindern. AINS 48:264–270PubMedGoogle Scholar
  55. 55.
    Steuerer MA, Berger TM (2011) Infusionstherapie bei Neugeborenen, Säuglingen und Kindern. Anästhesist 60:10–20CrossRefGoogle Scholar
  56. 56.
    Beck CE (2007) Hypotonic versus isotonic maintenance intravenous fluid therapy in hospitalized children: a systematic review. Clin Pediatr 46:764–770CrossRefGoogle Scholar
  57. 57.
    Moritz ML, Ayus JC (2007) Hospital-acquired hyponatremia – why are hypotonic parenteral fluids still being used? Nat Clin Pract Nephrol 3:374–382CrossRefPubMedGoogle Scholar
  58. 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 20:977–981CrossRefPubMedGoogle Scholar
  59. 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 95:299–306CrossRefPubMedGoogle Scholar
  60. 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 376:773–783Google Scholar
  61. 61.
    Becke K (2014) Das Kind mit einem Atemwegsinfekt. AINS 49:162–167PubMedGoogle Scholar
  62. 62.
    Becke K, Giest J, Strauß J et al (2007b) Handlungsempfehlungen zur präoperativen Diagnostik, Impfabstand und Nüchternheit im Kindesalter. Anästh Intensivmed 48:62–66Google Scholar
  63. 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 17:410–420CrossRefGoogle Scholar
  64. 64.
    Doherty GM, Chisakuta A, Crean P et al (2005) Anesthesia and the child with asthma. Pediatr Anesth 15:446–454CrossRefGoogle Scholar
  65. 65.
    Regli A, von Ungern-Sternberg B (2014) Anesthesia and ventilation strategies in children with asthma: Part II – intraoperative management. Curr Opin Anesthesiol 27:295–302CrossRefGoogle Scholar
  66. 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. 67.
    Dütschke P, Scheewe J, Bein B (2007) Anästhesie bei kongenitalen Herzfehlern. Der herzchirurgische Korrektureingriff. Anästhesiol Intensivmed Notfallmed Schmerzther 11–12:804–812CrossRefGoogle Scholar
  68. 68.
    Schwarzenberger JC, Gogarten W (2007) Anästhesie bei kongenitalen Herzfehlern. Nichtherzchirurgische Eingriffe bei Kindern und Erwachsenen. Anästhesiol Intensivmed Notfallmed Schmerzther 11–12:822–831CrossRefGoogle Scholar
  69. 69.
    Baum VC, Barton DM, Gutgesell HP (2000) Influence of congenital heart disease on mortality after non-cardic-surgery in hospitalized children. Pediatrics 105:332–335CrossRefPubMedGoogle Scholar
  70. 70.
    Naber CK (2007) Prophylaxe der infektiösen Endokarditis. Kardiologe 1:243–250CrossRefGoogle Scholar
  71. 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 15:1048–1052Google Scholar
  72. 72.
    Ghai B, Makkar JK, Wig J (2008) Postoperative pain assessment in preverbal children and children with cognitive impairment. Pediatr Anesth 18:462–477CrossRefGoogle Scholar
  73. 73.
    Koh JL, Fanurik D, Harrison RD et al (2004) Analgesia following surgery in children with cognitive impairment. Pain 11:239–244CrossRefGoogle Scholar
  74. 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 20:323–329CrossRefGoogle Scholar
  75. 75.
    Ren WHP (2009) Anesthetic management of epileptic pediatric patients. Int Anesthesiol Clin 47:101–116CrossRefPubMedGoogle Scholar
  76. 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 17:1090–1098Google Scholar
  77. 77.
    Herbst A, Kiess W (2007) Diabetes mellitus Typ I. Anästhesist 56:454–460CrossRefGoogle Scholar
  78. 78.
    Rhodes ET, Ferrari LR, Wolfsdorf JI et al (2005) Perioperative management of pediatric surgical patients with diabetes mellitus. Anesth Analg 101:986–999CrossRefPubMedGoogle Scholar
  79. 79.
    Baum VC, JE O´F (2007) Anesthesia for genetic, metabolic, and dysmorphic syndromes of childhood, 2. Aufl. Lippincott Williams Wilkins, PhiladelphiaGoogle Scholar
  80. 80.
    Bolton-Maggs PH, Pasi KJ (2003) Haemophilias A and B. Lancet 361:1801–1809CrossRefPubMedGoogle Scholar
  81. 81.
    Manucci PM (2004) Treatment of von Willebrand´s disease. N Engl J Med 351:683–694CrossRefGoogle Scholar
  82. 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 17:22–27CrossRefGoogle Scholar
  83. 83.
    Hayes J, Veyckemans F, Bissonnette B et al (2008) Duchenne muscular dystrophy: an old anesthesia problem revisited. Pediatr Anesth 18:100–106CrossRefGoogle Scholar
  84. 84.
    Kinouchi K (2004) Anaesthetic considerations for the management of very low and extremely low birth weight infants. Best Pract Res Clin Anesthesiology 18:273–290CrossRefGoogle Scholar
  85. 85.
    Cote CJ, Zaslavsky A, Downes JJ et al (1995) Postoperative apnea in former preterm infants after inguinal herniorrhaphy. A combined analysis. Anesthesiology 82:809–822CrossRefPubMedGoogle Scholar
  86. 86.
    Breschan C, Likar R (2006) Anesthetic management of surgery in term and preterm infants. Anaesthesist 55:1087–1098CrossRefPubMedGoogle Scholar
  87. 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 15:541–546CrossRefGoogle Scholar
  88. 88.
    Bohn D (2002) Congenital diaphragmatic hernia. Am J Respir Crit Care Med 166:911–915CrossRefPubMedGoogle Scholar
  89. 89.
    Brown RA (2007) Evolving management of congenital diaphragmatic hernia. Pediatr Anesth 17:713–719CrossRefGoogle Scholar
  90. 90.
    Weber TR, Au-Fliegner M, Downard CD et al (2002) Abdominal wall defects. Curr Opin Pediatr 14:491–497CrossRefPubMedGoogle Scholar
  91. 91.
    Brustia L, Preseglio I, Adduci D et al (1993) Anesthesia in the surgical repair of myelomeningocele. Minerva Anestesiol 59:853–856PubMedGoogle Scholar
  92. 92.
    Feldman JM, Kalli I (2006) Equipment and environ mental issues for nonoperating room anesthesia. Curr Opin Anaesthesiol 19:450–452CrossRefPubMedGoogle Scholar
  93. 93.
    Guidelines for monitoring and management for pediatric anesthesia sedation (2008) Pediatr Anesth 18:9–10Google Scholar
  94. 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 103:863–868CrossRefPubMedGoogle Scholar
  95. 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–e636CrossRefPubMedGoogle Scholar
  96. 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 10:59–63CrossRefGoogle Scholar
  97. 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 15:214–219CrossRefGoogle Scholar
  98. 98.
    Evans D, Turnham L, Barbour K et al (2005) Intravenous ketamine sedation for painful oncology procedures. Pediatr Anesth 15:131–138CrossRefGoogle Scholar
  99. 99.
    Holdsworth MT, Raisch DW, Winter SS et al (2003) Pain and distress from bone marrow and lumbar punctures. Ann Pharmacother 37:17–22CrossRefPubMedGoogle Scholar
  100. 100.
    Bein B, Renner J (2007) Anästhesie bei kongenitalen Herzfehlern. Herzkatheterisierung in der pädiatrischen Kardiologie. Anästhesiol Intensivmed Notfallmed Schmerzther 11-12:814–820CrossRefGoogle Scholar
  101. 101.
    AWMF 001/018: S3-Leitlinie Vermeidung von perioperativer Hypothermie 2014Google Scholar

Copyright information

© © Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  • Karin Becke
    • 1
  • Stephan-Matthias Reyle-Hahn
    • 2
  • Claudia Höhne
    • 3
  1. 1.Cnopfsche Kinderklinik, Anästhesie-AbteilungNürnbergDeutschland
  2. 2.Ev. Waldkrankenhaus Spandau, Klinik für Anästhesie und Perioperative MedizinBerlinDeutschland
  3. 3.Universitätsklinik Leipzig, Klinik und Poliklinik für Anästhesiologie und IntensivtherapieLeipzigDeutschland

Section editors and affiliations

  • Bernhard Zwißler
    • 1
  1. 1.Klinikum der Universität München, Klinik für AnästhesiologieMünchenDeutschland

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