患有外周神经阻塞的儿童的护理管理
Jamie Reddinger1, Alexander Praslick1, Kara Halteman1
1Children's Hospital of Pittsburgh of UPMC, Department of Anesthesiology, Pittsburgh, PA.
概括
儿科护士需要更新关于外围神经阻断 (PNB) 的指导,以治疗术后疼痛. 本综述综合了PNB的基本护理组件,改善了儿科患者的治疗结果.
科学领域:
- 护理 护理 护理
- 麻醉学 麻醉学
- 儿科手术 儿科手术
背景情况:
- 外围神经阻塞 (PNB) 越来越多地用于儿科手术中术后疼痛管理.
- 在护理文献中,关于PNB为儿科患者提供护理的知识缺口存在.
- 护士在优化疼痛管理和患者安全方面发挥着至关重要的作用.
研究的目的:
- 为儿科外科护士提供必要的知识,以便为接受PNB的儿科患者提供术后护理.
- 涵盖PNBs的指示,止痛目标,局部麻醉剂,并发症和护理方面.
- 弥合护理文献中关于儿科外科设置中PNB管理的差距.
主要方法:
- 关于儿科区域麻醉和PNBs的基于证据的实践文章的综合文献综述.
- 搜索了包括PubMed,CINAHL,奥维德和匹兹堡大学健康科学图书馆在内的数据库.
- 审查了主要疼痛和麻醉学会的临床指南,以获得最佳实践.
主要成果:
- 确定了PNB护理管理的核心组成部分.
- 关键考虑因素包括了解局部麻醉药理学,输液/导管护理,部位评估,疼痛评估和神经血管监测.
- 强调了早期发现并发症和患者/家庭教育的重要性.
结论:
- 文献和指导方针强调了基于证据的儿科PNB护理的基本组成部分.
- 对PNB的增强知识可以改善护理管理,患者舒适性和安全性.
- 这一综合研究支持知情实践,为儿童手术疼痛管理提供更好的临床结果.
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