在新生儿重症监护室治疗婴儿的术后疼痛
Brittney Smith1, Cassandra Palasiewicz2
1University of Iowa Stead Family Children's Hospital, Iowa City, IA, USA bsmithnnp91@gmail.com.
Neonatal network : NN
|October 15, 2025
概括
准确的婴儿疼痛评估对于预防不良结果至关重要. 使用经过验证的疼痛量表,如CRIES和FLACC,有助于婴儿有效的术后疼痛管理.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 新生儿疼痛管理 新生儿疼痛管理
- 基于证据的护理实践
背景情况:
- 婴儿手术后疼痛的识别和治疗是复杂的挑战.
- 婴儿疼痛管理不足可能导致神经系统不良结果,增加死亡率和慢性疼痛的发展.
- 前言和神经不成熟的婴儿在疼痛评估方面存在独特的困难.
研究的目的:
- 审查当前关于婴儿术后疼痛评估和治疗策略的文献.
- 确定适合婴儿群体的基于证据的疼痛评估工具.
- 强调适当的疼痛管理对于预防长期后果的重要性.
主要方法:
- 使用PubMed和CINAHL数据库进行了一项文献审查.
- 包括的文章是在过去5年内以英语出版的,重点是婴儿手术后疼痛,评估和治疗.
- 来自当前系统性审查的初级来源被用于5年时间框架之外的信息.
主要成果:
- 有几种基于证据的疼痛评估尺度可用,包括COMFORT,CRIES,FLACC,N-PASS和PIPP-R.
- 适当选择和应用这些尺度对于准确的婴儿疼痛评估至关重要.
- 可以使用阿片类和非阿片类止痛药来缓解婴儿手术后的疼痛.
结论:
- 教育护理人员和提供者关于疼痛评估和倡导适当的止痛是必不可少的.
- 在新生儿和婴儿中开发术后止痛算法可以优化疼痛治疗.
- 针对性干预,升级护理和减少阿片类药物暴露是婴儿术后疼痛管理的关键目标.
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