儿科外围神经导管:在手术室 (OR) 之外发展的实践
Deepa Kattail1, Walid Alrayashi2, John G Hagen3
1Department of Anaesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Anesthesiology clinics
|November 13, 2025
概括
持续的外围神经阻断为儿童提供安全的疼痛缓解,减少阿片类药物需求. 经过仔细使用和监测,这些块可以促进恢复,并具有非常低的并发症率.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 连续外围神经阻塞 (CPNBs) 越来越多地用于儿科止痛.
- 已建立的安全性和有效性概况存在于住院和门诊环境中.
- 抗阿片类药物缓解疼痛是儿科疼痛管理的一个关键目标.
研究的目的:
- 总结CPNB在儿科患者的安全性和有效性.
- 突出最近的证据支持扩展的指示和改进的安全措施.
- 倡导持续的研究和基础设施开发,以促进CPNB的采用.
主要方法:
- 对大型数据集和有关儿科CPNB的最新证据的审查.
- 对并发症率和神经学结果的分析.
- 评估剂量,感染控制和远程监测方面的进展.
主要成果:
- CPNB的并发症率很低 (约为0.04%),没有报告永久的神经损伤.
- 证据支持在特殊预防措施下,在患有创伤和凝血问题的儿科患者中使用CPNB.
- 技术和监控方面的进步提高了CPNB的安全性.
结论:
- 对于儿科患者来说,CPNB是一种安全有效的止痛方式.
- 适当的患者选择,教育和随访对于最佳结果至关重要.
- 持续的研究和投资对于更广泛的CPNB实施和改善儿科疼痛护理至关重要.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
711
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
711
Cardiac Catheterization IV: Nursing Management
631
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
631
Peripheral Artery Disease V: Postoperative Nursing Management
360
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
360
Peripheral Artery Disease III: Interprofessional Care
231
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
231
Suctioning the Nasopharyngeal Airway
2.9K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
2.9K


