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儿科桃体切除术的外科临床实践建议:系统性审查
Alfonso E Albornoz1,2, Mehwish Rana3, Jason Hayes1,2
1Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|January 5, 2024
概括
这次系统性审查分析了儿科桃体切除术术术前期护理的临床实践指南. 建议使用乙氨基,NSAIDs和类固醇来治疗经过桃体切除术的儿童的疼痛.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 基于证据的医学基于证据的医学.
背景情况:
- 桃体切除术是一种常见的儿科手术手术.
- 现有的临床实践指南 (CPG) 主要关注的是手术决策,而不是术后管理.
- 需要专门针对经过桃体切除术的儿童的术后护理的CPG.
结论:
- 建议使用乙氨基,NSAIDs和类固醇进行儿科桃体切除术的外科治疗.
- 未来的CPG应该解决安全的阿片类药物使用问题,考虑阻塞性睡眠呼吸暂停的严重程度和阿片类药物节约技术.
- 需要进一步澄清像德克斯梅托米丁,高剂量德克萨米他和 gabapentinoids 这样的辅助剂.
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