经鼻插管全麻下门诊儿童龋病治疗的麻醉护理

Anesthesia care for pediatric outpatients with caries treated under general anesthesia by nasal intubation

总结40例门诊儿童在经鼻插管全麻下行口腔治疗的麻醉护理管理和配合经验,40例治疗均顺利完成。麻醉护理重点包括治疗前对患儿的术前评估、心理护理及禁食水护理;指导患儿家属配合麻醉医生一起完成患儿的麻醉诱导;经鼻插管有可能损伤患儿的鼻腔以及插管后导管的固定,需麻醉护士充分的评估并配合麻醉医生完成操作。治疗中维持患儿生命体征平稳,记录全麻的过程并确保其完整性;治疗结束后加强对患儿麻醉苏醒期间的护理观察,协助麻醉医生评估患儿是否达到离院标准,对患儿及家属进行随访教育。40例患儿均在经鼻插管全麻下顺利完成无痛口腔诊疗。

The management experience of anesthesia nursing was summed up from the successful completion of 40 cases of pediatric outpatients receiving oral therapy under general anesthesia after nasal intubation.The anesthesia nursing focuses on preoperative evaluation,psychological nursing and water fasting nursing before treatment.Meanwhile,nurses should instruct the family members of the children to cooperate with the anesthesiologist to complete the anesthesia induction of the children.Nasal intubation may damage the nasal cavity of the child and harm the fixation of the catheter after intubation,which should be fully evaluated by nurse anesthetists and performed in coordination with the anesthesiologist.It is important to maintain stable vital signs,record the process of general anesthesia and ensure its integrity during treatment.After the treatment,the nursing observation during the period of anesthesia and recovery of the children was strengthened,and nurse anesthetists assisted the anesthesiologist to assess whether the children meet the discharge criteria,and then follow-up education was conducted for the children and their families.All of the 40 pediatric patients underwent painless oral diagnosis and treatment under general anesthesia by nasal intubation successfully.