儿科小手术中的程序镇静：急诊科氯胺酮使用情况的前瞻性审计
Procedural sedation in paediatric minor procedures: a prospective audit on ketamine use in the emergency department.
作者信息
Ellis D Y, Husain H M, Saetta J P, Walker T
机构信息
Department of Emergency Medicine, Queen Elizabeth II Hospital, Welwyn Garden City, Hertfordshire, UK.
出版信息
Emerg Med J. 2004 May;21(3):286-9. doi: 10.1136/emj.2003.007229.
OBJECTIVES
To further evaluate the safety profile and efficacy of intramuscular ketamine for procedural sedation during paediatric minor procedures in the emergency department and to ascertain parental satisfaction with the treatment of their children.
METHODS
A prospective audit of ketamine use in a UK district general hospital involving 89 children requiring minor procedures. Children received topical anaesthesia followed by an intramuscular injection of ketamine 4 mg/kg and intramuscular atropine 0.02 mg/kg. The procedure was assessed by way of a physician completed form and by evaluation of questionnaires given to parents to gauge levels of satisfaction.
RESULTS
No child required admission to hospital and there were no serious complications. A high level of satisfaction was expressed by all the parents/guardians of the children treated.
CONCLUSIONS
High levels of satisfaction among parents and staff together with the avoidance of hospital admission and improved resource management should be a sufficient incentive for hospital trusts to consider the establishment of this type of service.
目的
进一步评估急诊科小儿小手术过程中肌肉注射氯胺酮用于程序镇静的安全性和有效性，并确定家长对其子女治疗的满意度。
方法
对英国一家地区综合医院使用氯胺酮的情况进行前瞻性审计，涉及89名需要进行小手术的儿童。儿童先接受局部麻醉，然后肌肉注射4毫克/千克氯胺酮和0.02毫克/千克肌肉注射阿托品。通过医生填写的表格以及向家长发放问卷以评估满意度的方式对手术进行评估。
结果
没有儿童需要住院，也没有严重并发症。接受治疗的所有儿童的家长/监护人都表示高度满意。
结论
家长和工作人员的高度满意度，以及避免住院和改善资源管理，应该足以促使医院信托机构考虑建立此类服务。
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