Sacchetti Alfred, Baren Jill, Carraccio Carol
Our Lady of Lourdes Medical Center, Camden, NJ, USA.
Pediatr Emerg Care. 2010 Mar;26(3):209-11. doi: 10.1097/PEC.0b013e3181d1e429.
Indications for pediatric procedural sedation and analgesia are generally based on the need to manage pain or elicit cooperation for a single major procedure in the emergency department setting. However, multiple minor procedures such as vascular access, urethral catheterization, lumbar puncture, or superficial abscess drainage may be required in the care of a single child, and combining these activities may produce as much stress as a single major procedure. The use of procedural sedation in children based on total procedural requirements is proposed with 2 illustrative cases as examples of this concept.
儿科程序性镇静和镇痛的适应症通常基于在急诊科环境中处理疼痛或促使患儿配合进行单一主要手术的需要。然而，在照顾单个儿童时可能需要进行多项小手术，如血管通路建立、尿道插管、腰椎穿刺或浅表脓肿引流，将这些操作合并起来可能会产生与单一主要手术一样多的压力。本文以2个示例病例为这种概念的实例，提出根据总的手术需求对儿童使用程序性镇静。
