Paediatric Accident and Emergency Department, St Mary's Hospital, Praed Street, Paddington, London W2 1NY, UK.
Emerg Med J. 2010 Jul;27(7):553-4. doi: 10.1136/emj.2009.072538. Epub 2010 Jun 3.
For analgesia and sedation in the paediatric setting, intranasal medication is favourable for several reasons, in particular ease of administration and rapid onset of action. A survey was conducted of all Emergency Departments in England and Wales regarding their use of intranasal medication in children. Approximately 50% use intranasal medication, commonly intranasal diamorphine with sporadic use of other opiates. Intranasal midazolam is used for sedation but is less well tolerated than when administered orally. Intranasal diamorphine, however, is safe and effective in the management of pain in the paediatric emergency setting and its ease of administration makes it ideal for use in the already traumatised child.
在儿科环境中，为了镇痛和镇静，经鼻给药有几个优点，特别是给药方便和起效迅速。对英格兰和威尔士所有急症室进行了一项关于其在儿童中使用经鼻给药的调查。大约 50%使用经鼻给药，通常是经鼻给予吗啡，偶尔也使用其他阿片类药物。经鼻给予咪达唑仑用于镇静，但耐受性不如口服给药。然而，经鼻给予吗啡在儿科急症环境中管理疼痛是安全有效的，其给药方便使其成为已经受到创伤的儿童的理想选择。
