切割における痛み管理と術後の結果

Sophia Perez¹, Jami Alamar¹, Rachel Siretskiy¹

¹Florida International University Herbert Wertheim College of Medicine, Miami, FL, USA.

The American surgeon

|August 29, 2025

まとめ

尾関節阻害剤やNSAIDを含む非麻酔性疼痛管理は,小児割礼患者の痛みを効果的に制御することができます. このアプローチは麻薬の必要性を減らし患者のケアを最適化します

科学分野:

小児外科
痛みの管理
麻酔科

背景:

オピオイド管理は術後の結果を最適化するために重要です
標準化された非麻薬鎮痛剤のプロトコルが幼児の割礼に欠けています
現在行われているのは麻酔の鎮痛薬による小児割礼です

研究の目的:

小児割礼の現在の鎮痛薬の評価
痛みの管理における地域神経ブロックとNSAIDの役割を評価する.
薬物の使用と患者への影響を決定する.

主な方法:

割礼を受けた354人の小児患者の経歴を振り返る.
手術中の鎮痛剤と神経ブロックの使用の分析
麻酔剤の必要性や出血の発生率を含む患者のアウトカムの評価

主要な成果:

患者の57. 6%は手術中の薬剤投与を受け,28. 4%は追加投与を受けた.
尾関節ブロックを受けた患者は,手術前薬剤を必要としなかった.
尾関節阻害剤やNSAIDを投与した群と投与されなかった群の間で,出血の有意な差は認められなかった.

結論:

地域神経ブロック (尾関節) とNSAIDは,小児割礼の痛みを効果的に制御することができます.
これらの非薬剤戦略は,手術前薬剤の必要性を大幅に減らすか,排除することができます.
地域麻酔とNSAIDsの導入は,小児割礼のケアを最適化し,オピオイド管理を改善することができます.

キーワード:

エラスその他小児外科外科的な品質

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