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在儿童中进行手术镇静和镇痛
Baruch Krauss1, Steven M Green
1Division of Emergency Medicine, Children's Hospital and Harvard Medical School, 300 Longwood baruch.krauss@childrens.harvard.edu
Lancet (London, England)
|March 7, 2006
概括
儿童的手术镇静和镇痛可以在手术室以外的医疗程序中安全地控制疼痛和焦虑. 本综述涵盖了有效的儿科手术镇静药物选择,方法和国际实践.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 程序性镇静和镇痛 (PSA) 越来越多地用于接受诊断和治疗程序的儿科患者.
- 这种练习是由各种专家在传统的手术室环境之外进行的.
研究的目的:
- 审查安全有效的儿科手术镇静和止痛的原则.
- 讨论PSA药物选择,剂量和终点的确定.
- 概述药典,国际实践,争议和儿科PSA的未来方向.
主要方法:
- 关于儿童手术镇静和止痛的综合文献综述.
- 对药物药理学,副作用和临床决策过程的分析.
- 国际实践的比较和争议领域的识别.
主要成果:
- 程序性镇静和镇痛是一种广泛采用的做法,用于儿童护理的各种医疗专业.
- 关键考虑因素包括适当的药物选择,准确的剂量和定义镇静终点.
- 本书详细介绍了现有的药理学药物及其相关风险.
结论:
- 安全和有效的程序镇静和镇痛需要对药理学药物和患者因素有充分的了解.
- 实践的标准化和解决国际差异对于优化儿科手术镇静至关重要.
- 未来的研究应该专注于改进技术和解决儿科PSA当前的争议.
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