Hammer Gregory B
Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305, USA.
Otolaryngol Clin North Am. 2008 Oct;41(5):1023-44, x-xi. doi: 10.1016/j.otc.2008.04.013.
Deep levels of sedation and analgesia are needed in the majority of children who require prolonged tracheal intubation after laryngotracheal reconstruction (LTR). Drug doses may be determined most appropriately using validated scoring tools for sedation and analgesia; these scales continue to evolve and are used with increasing regularity in the pediatric intensive care unit (PICU). In this presentation, the validated scoring tools used to assess sedation and analgesia are reviewed, and specific agents used to manage sedation, analgesia, and neuromuscular blockade in the PICU after LTR are discussed.
大多数在喉气管重建（LTR）后需要长期气管插管的儿童需要深度镇静和镇痛。使用经过验证的镇静和镇痛评分工具可以最恰当地确定药物剂量；这些量表不断发展，在儿科重症监护病房（PICU）中的使用越来越频繁。在本报告中，回顾了用于评估镇静和镇痛的经过验证的评分工具，并讨论了在LTR后PICU中用于管理镇静、镇痛和神经肌肉阻滞的特定药物。
