Bauchner H, May A, Coates E
Department of Pediatrics, Boston City Hospital, Massachusetts 02118.
J Pediatr. 1992 Oct;121(4):647-9. doi: 10.1016/s0022-3476(05)81164-3.
The purpose of this study was to assess the use of analgesic agents for invasive medical procedures in pediatric and neonatal intensive care units. The directors of 38 pediatric units and 31 neonatal units reported that analgesics were infrequently used for intravenous cannulation (10%), suprapubic bladder aspiration (8%), urethral catheterization (2%), or venipuncture (2%). Analgesics were used significantly more regularly in pediatric than in neonatal intensive care units for arterial line placement, bone marrow aspiration, central line placement, chest tube insertion, paracentesis, and lumbar puncture.
本研究的目的是评估儿科和新生儿重症监护病房中用于侵入性医疗操作的镇痛药物的使用情况。38个儿科病房和31个新生儿病房的主任报告称，镇痛药在静脉置管（10%）、耻骨上膀胱穿刺（8%）、导尿（2%）或静脉穿刺（2%）中使用较少。在儿科重症监护病房，镇痛药在动脉置管、骨髓穿刺、中心静脉置管、胸腔闭式引流、腹腔穿刺和腰椎穿刺等操作中的使用频率明显高于新生儿重症监护病房。
