Green Steven M, Krauss Baruch
Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA 92354, USA.
Ann Emerg Med. 2004 Nov;44(5):460-71. doi: 10.1016/S0196064404006365.
We present an evidence-based clinical practice guideline for the administration of the dissociative agent ketamine for emergency department pediatric procedural sedation and analgesia. Substantial research in recent years has necessitated updates and revisions to the widely disseminated 1990 recommendations. We critically discuss indications, contraindications, personnel requirements, monitoring, dosing, coadministered medications, recovery issues, and future research questions for dissociative sedation.
我们提出了一份基于证据的临床实践指南，用于急诊科对儿童进行程序性镇静和镇痛时使用解离剂氯胺酮。近年来的大量研究使得有必要对广泛传播的1990年建议进行更新和修订。我们对解离性镇静的适应症、禁忌症、人员要求、监测、给药剂量、联合使用的药物、恢复问题以及未来的研究问题进行了批判性讨论。
