Shavit Itai, Hershman Eli
Department of Pediatric Emergency, Meyer Children's Hospital, Rambam Medical Center, Haifa, Israel.
Isr Med Assoc J. 2004 Jun;6(6):350-5.
The treatment of acute pain and anxiety in children undergoing therapeutic and diagnostic procedures in the emergency department has improved dramatically in recent years. The availability of non-invasive monitoring devices and the use of short-acting sedative and analgesic medications enable physicians to conduct safe and effective sedation and analgesia treatment. In today's practice of pediatric emergency medicine, sedation and analgesia has been considered as the standard of care for procedural pain. In most pediatric emergency departments throughout North America, "procedural sedation and analgesia" treatment is being performed by non-anesthesiologists (qualified emergency physicians and nurses). In 2003, the Israel Ministry of Health published formal guidelines for pediatric sedation by non-anesthesiologists; this important document recognizes for the first time the need for pediatric sedation and analgesia outside the operating room. We describe the basic principles of procedural sedation and analgesia in children and urge physicians working in pediatric emergency rooms in Israel to expand their knowledge and be more involved in the treatment of pediatric procedural pain.
近年来，急诊科中接受治疗和诊断程序的儿童急性疼痛和焦虑的治疗有了显著改善。非侵入性监测设备的可用性以及短效镇静和镇痛药物的使用，使医生能够进行安全有效的镇静和镇痛治疗。在当今的儿科急诊医学实践中，镇静和镇痛已被视为程序性疼痛治疗的标准。在北美大多数儿科急诊科，“程序性镇静和镇痛”治疗由非麻醉医生（合格的急诊医生和护士）进行。2003年，以色列卫生部发布了非麻醉医生进行儿科镇静的正式指南；这份重要文件首次认识到手术室之外儿科镇静和镇痛的必要性。我们描述了儿童程序性镇静和镇痛的基本原则，并敦促在以色列儿科急诊室工作的医生扩展他们的知识，更多地参与儿科程序性疼痛的治疗。
