在接受腹部手术的儿科患者手术后疼痛管理的超声波指导程序:系统性审查
Suresh K Thanneeru1, Molli Kiran2, Sri R A N Padala2
1Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Saudi journal of anaesthesia
|April 24, 2024
概括
这篇评论比较了儿科腹部手术疼痛的超声波导向神经阻塞. 横腹部阻塞是常见的,但疗效不同,强调需要标准化的RCT来优化儿科术后止痛.
科学领域:
- 麻醉学和疼痛管理
- 儿科手术 儿科手术
- 区域麻醉地区麻醉
背景情况:
- 超声导向的外周神经阻塞对于儿科止痛至关重要.
- 为儿科腹部手术疼痛管理选择最佳程序仍然是一个挑战.
研究的目的:
- 系统地审查和比较儿科腹部手术的超声波引导程序.
- 评估疗效,手术持续时间和适合特定手术的情况.
- 确定儿童手术后疼痛管理的最佳技术.
主要方法:
- 在PubMed,SCOPUS,Cochrane图书馆和ScienceDirect的系统文献搜索.
- 包括随机对照试验 (RCT),涉及接受腹部手术的儿科患者.
- 不包括非RCT,案例报告和非英语研究.
主要成果:
- 审查了13篇与910名儿科患者 (6个月至21岁) 的文章.
- 横腹部阻塞 (47.76%) 和/水手术 (52.10%) 是最常见的.
- 没有报告任何并发症;然而,横腹块在两项研究中显示出可变的疗效.
结论:
- 超声导向区域麻醉为儿科腹部手术提供了多种选择.
- 每个区块技术都有独特的优点和缺点,需要量身定制的方法.
- 进一步的RCT对于比较疗效,标准化实践和提高儿科术后结果至关重要.
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