儿科急诊室内静脉镇静和止痛:一个回顾性描述性研究
Madalena Carvalho1, Ana Teresa Guerra1, Marta Moniz1
1Pediatric Service, Child and Youth Department, Hospital Professor Doutor Fernando Fonseca, Lisboa, PRT.
Cureus
|September 9, 2024
概括
使用静脉注射胺和米达佐拉姆的儿科手术镇静对于接受痛苦紧急手术的儿童来说是安全有效的. 这种组合导致不良事件的发生率较低,确保了足够的疼痛控制和患者舒适.
科学领域:
- 儿科急救医学 儿科急救医学
- 药理学 药理学是指药理学的学科.
- 麻醉学 麻醉学
背景情况:
- 儿科急诊室的痛苦手术需要儿童和青少年的镇静和镇痛.
- 确保足够的疼痛控制是接受医学干预的儿科患者的基本权利.
研究的目的:
- 描述在儿科急诊室使用静脉注射药物的过程镇静和止痛方法.
- 分析干预的类型,使用的药物和与sedoanalgesia相关的不良事件.
主要方法:
- 在II级地区医院的儿科急诊室进行的回顾性描述性研究 (2018年10月 - 2023年12月).
- 分析了615名接受静脉静脉疼痛治疗的儿科患者的数据.
- 对干预类型,使用的药物 (胺,米达佐拉姆,普罗波,吗啡) 和记录的不良事件的审查.
主要成果:
- 这项研究包括615名患者 (65.7%是男性,平均年龄为6岁).
- 最常见的手术是伤口 suturing (50.9%) 和骨折减少 (36.3%).
- 胺 (99.2%) 和米达 (95.8%) 是主要的药物,通常是组合 (93.8%). 在8.1%的患者中发生了不良事件,最常见的是短暂的氧气不和. 呼吸道并发症在没有侵入性措施的情况下得到解决. 镇静主要由儿科重症医生 (68.1%) 进行.
结论:
- 静脉静止止痛,特别是胺-米达佐拉姆组合,是儿科手术镇静的安全有效方法.
- 该研究强调了不良事件的发生率很低,没有观察到剂量依赖性.
- 在儿科急诊环境中,在痛苦的手术中实现了有效的疼痛控制和镇静.
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