Baltes-Messner J, VanDenLangenberg B, Koberstein H, Hollman G
University of Wisconsin Children's Hospital, Madison, USA.
Orthop Nurs. 1999 Sep-Oct;18(5):35-49; quiz 50-1.
Successful completion of diagnostic and therapeutic orthopaedic procedures in children requires a high level of cooperation and pain control. This article provides a framework for safe and effective sedation of children undergoing such procedures. Following the definition of levels of sedation, the dynamics of the three phases of sedation (pre, intra, and post) are described. Specific sedative-analgesic agents, monitoring, and transport are discussed. Finally, the art of working with children who require sedation is outlined.
成功完成儿童骨科诊断和治疗程序需要高度的配合和疼痛控制。本文为接受此类程序的儿童提供了安全有效的镇静框架。在定义镇静水平之后，描述了镇静三个阶段（术前、术中和术后）的动态过程。讨论了特定的镇静镇痛药物、监测和转运。最后，概述了与需要镇静的儿童打交道的技巧。
