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儿科患者的镇静

Sedation in pediatric patients.

作者信息

Suresh S, Hall S C

机构信息

Children's Memorial Hospital, Northwestern University, Chicago, IL 60614 USA.

出版信息

Indian J Pediatr. 1996 Jan-Feb;63(1):13-22. doi: 10.1007/BF02823860.

DOI:10.1007/BF02823860
PMID:10829960
Abstract

Sedation is being used increasingly in children to allay anxiety and discomfort. Sedation can also increase the efficiency of performing both diagnostic and therapeutic procedures in children. There are a wide array of available sedation methods that are used by radiologists, gastroenterologists, hematologists/oncologists and emergency room physicians everyday. Indiscriminate use of sedatives has led to seizures, respiratory arrests and death in a variety of practice settings. With improved monitoring capability, more potent drugs and better understanding of the pharmacokinetics in children, it is possible to provide batter care.

摘要

镇静剂在儿童中的使用越来越频繁,以减轻焦虑和不适。镇静还可以提高儿童诊断和治疗程序的效率。放射科医生、胃肠病学家、血液科/肿瘤科医生和急诊室医生每天都使用各种各样的镇静方法。在各种实际应用场景中,不加区分地使用镇静剂已导致癫痫发作、呼吸骤停和死亡。随着监测能力的提高、更有效的药物以及对儿童药代动力学的更好理解,提供更好的护理成为可能。

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Sedation in pediatric patients.儿科患者的镇静
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本文引用的文献

1
Efficacy of intranasal midazolam in facilitating suturing of lacerations in preschool children in the emergency department.鼻内咪达唑仑在急诊科促进学龄前儿童裂伤缝合中的疗效。
Pediatrics. 1993 Mar;91(3):624-7.
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Guidelines for the monitoring and care of children during and after sedation for imaging studies.
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3
Intravenous sedation for MR imaging of the brain and spine in children: pentobarbital versus propofol.儿童脑和脊柱磁共振成像的静脉镇静:戊巴比妥与丙泊酚的比较。
Radiology. 1993 Jan;186(1):93-7. doi: 10.1148/radiology.186.1.8416594.
4
Oral ketamine for pediatric outpatient dental surgery sedation.口服氯胺酮用于儿科门诊牙科手术镇静
Pediatr Dent. 1993 May-Jun;15(3):182-5.
5
Sedation for the pediatric patient. A review.儿科患者的镇静:综述
Pediatr Clin North Am. 1994 Feb;41(1):31-58. doi: 10.1016/s0031-3955(16)38690-4.
6
The dose of propofol required to prevent children from moving during magnetic resonance imaging.
Anesthesiology. 1993 Nov;79(5):953-8. doi: 10.1097/00000542-199311000-00013.
7
Potential risks and preventive measures for pulmonary aspiration: new concepts in preoperative fasting guidelines.肺误吸的潜在风险与预防措施:术前禁食指南中的新概念
Anesth Analg. 1993 Jul;77(1):171-82. doi: 10.1213/00000539-199307000-00034.
8
Nasal midazolam and ketamine for paediatric sedation during computerised tomography.计算机断层扫描期间用于小儿镇静的鼻内咪达唑仑和氯胺酮
Acta Anaesthesiol Scand. 1994 Apr;38(3):259-61. doi: 10.1111/j.1399-6576.1994.tb03885.x.
9
Preoperative fasting for paediatric anaesthesia.小儿麻醉的术前禁食
Br J Anaesth. 1994 Oct;73(4):529-36. doi: 10.1093/bja/73.4.529.
10
Propofol. An update on its clinical use.丙泊酚。其临床应用的最新进展。
Anesthesiology. 1994 Oct;81(4):1005-43.