Larsen Reagan, Galloway David, Wadera Sheetal, Kjar Dean, Hardy David, Mirkes Curtis, Wick Lori, Pohl John F
Department of Pediatrics, Scott andWhite Memorial Hospital, Texas A&M University Health Science Center, Temple, Texas 76508, USA.
Clin Pediatr (Phila). 2009 Oct;48(8):819-23. doi: 10.1177/0009922809337529. Epub 2009 May 29.
Propofol sedation is used more frequently in pediatric procedures because of its ability to provide varying sedation levels. The authors evaluated all outpatient pediatric procedures using propofol sedation over a 6-year period. All sedation was provided by pediatric intensivists at a single institution. In all, 4716 procedures were recorded during the study period; 15% of procedures were associated with minor complications, whereas only 0.1% of procedures were associated with major complications. Significantly more major complications associated with propofol occurred during bronchoscopy (P = .001). Propofol administered by a pediatric intensivist is a safe sedation technique in the pediatric outpatient setting.
由于丙泊酚镇静能够提供不同的镇静水平,因此在儿科手术中使用更为频繁。作者评估了在6年期间所有使用丙泊酚镇静的儿科门诊手术。所有镇静均由单一机构的儿科重症监护医生提供。在研究期间共记录了4716例手术;15%的手术伴有轻微并发症,而只有0.1%的手术伴有严重并发症。在支气管镜检查期间,与丙泊酚相关的严重并发症显著更多(P = .001)。在儿科门诊环境中,由儿科重症监护医生给予丙泊酚是一种安全的镇静技术。