RESULTS: This review includes two complementary investigations. First, a survey study was conducted querying pediatric neurosurgeons on their perceived barriers to the procedure in children with pLGG. Next, these critical barriers were analyzed in the context of existing literature. These barriers included the lack of standardized IONM techniques for children, inadequate surgical and anesthesia experience, concerns regarding increased complication risks, doubts about children\'s ability to tolerate the procedure, and perceived non-indications due to alternative monitoring tools.
CONCLUSIONS: Efforts to overcome these barriers include standardizing IONM protocols, refining anesthesia management, enhancing patient preparation strategies, and challenging entrenched beliefs about pediatric AC. Collaborative interdisciplinary efforts and further studies are needed to establish safety guidelines and broaden the application of AC, ultimately improving outcomes for children with pLGG.
结果:本综述包括两项补充调查。首先,我们进行了一项调查研究,询问小儿神经外科医生对pLGG患儿手术的感知障碍.接下来,这些关键障碍是在现有文献的背景下进行分析的。这些障碍包括缺乏针对儿童的标准化IONM技术,手术和麻醉经验不足,对并发症风险增加的担忧,对儿童容忍该程序的能力的怀疑,以及由于替代监测工具而导致的非适应症。
结论:克服这些障碍的努力包括标准化IONM协议,精炼麻醉管理,加强患者准备策略,挑战关于小儿AC的根深蒂固的信念。需要跨学科的合作努力和进一步的研究来建立安全准则和拓宽AC的应用,最终改善pLGG儿童的预后。