喉气管重建术后小儿重症监护病房的镇静与镇痛
Sedation and analgesia in the pediatric intensive care unit following laryngotracheal reconstruction.
作者信息
Hammer Gregory B
机构信息
Anesthesiology and Pediatrics, Department of Anesthesia, Stanford University School of Medicine, University Medical Center, 300 Pasteur Drive, Stanford, CA 94305-5640, USA.
出版信息
Paediatr Anaesth. 2009 Jul;19 Suppl 1:166-79. doi: 10.1111/j.1460-9592.2009.03000.x.
BACKGROUND
Children undergoing laryngotracheal reconstruction (LTR) may remain electively intubated in the pediatric intensive care unit (PICU) for several days following surgery to facilitate wound healing. These patients require sedation and analgesia with or without neuromuscular blockade in order to prevent excessive head and neck movement with resultant tension on the tracheal anastomosis. Achieving this level of immobility features in caring for these children.
AIM
The aims of this article are to describe a variety of commonly used sedation and analgesic agents and to provide guidance as to their optimal use following LTR.
背景
接受喉气管重建术（LTR）的儿童术后可能会在儿科重症监护病房（PICU）选择性插管数天，以促进伤口愈合。这些患者需要镇静和镇痛，可使用或不使用神经肌肉阻滞剂，以防止头部和颈部过度活动，从而避免气管吻合处受到张力。实现这种程度的制动是护理这些儿童的关键。
目的
本文旨在描述各种常用的镇静和镇痛药物，并为喉气管重建术后的最佳使用提供指导。
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