选择性背脊根茎切除术后的术后疼痛和疼痛管理
Isabel G Adams1, Ramanie Jayaweera2, Jennifer Lewis2
1Australian National University College of Health and Medicine, Canberra, Australian Capital Territory, Australia.
BMJ paediatrics open
|March 15, 2024
概括
选择性背脊根茎切除 (SDR) 有效地管理脑中的性. 手术后的疼痛通过阿片类药物和胺注射得到良好控制,副作用轻微,可控.
科学领域:
- 神经外科 神经外科
- 儿科整形外科 儿科整形外科
- 疼痛管理 疼痛管理
背景情况:
- 选择性背脊根茎切除术 (SDR) 是一种用于性双性脑的手术选择,以减少下肢性.
- 有效的疼痛管理对于SDR后的成功康复至关重要.
- 这项研究评估了儿科SDR患者的麻醉和早期疼痛管理策略.
研究的目的:
- 描述SDR的麻醉和早期疼痛管理协议.
- 评估SDR后儿童的疼痛水平和不良事件.
- 建立改善术后护理和患者/家庭教育的基线.
主要方法:
- 对22名接受SDR (2010-2020) 的儿童进行了回顾性队列研究.
- 对人口统计,临床和药物数据的电子医疗记录的审查.
- 数据包括疼痛评分 (Wong-Baker FACES),结果,不良事件以及麻醉/术后药物.
主要成果:
- 在手术期间使用的药物包括雷米芬坦尼尔,胺,青,和sevoflurane.
- 手术后的镇痛包括阿片类药物 (吗啡,芬太尼, oxycodone) 和胺注射.
- 平均疼痛评分很低 (1.4在POD1上,1.0在POD6上);大多数副作用 (便秘,恶心,吐) 是轻微的,并保守地管理.
结论:
- 在SDR之后,阿片类药物和胺注剂提供了有效的疼痛管理.
- 副作用很常见,但通常是轻微的和可治疗的.
- 研究结果为改善术后护理和向家庭提供有关SDR的信息提供了基线.
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