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CT 镇静与麻醉:提供高质量医疗服务的新问题。

Sedation and anesthesia for CT: emerging issues for providing high-quality care.

机构信息

Department of Pediatrics, Section of Emergency Medicine, 6621 Fannin St., Suite 2210, Houston, TX 77030, USA.

出版信息

Pediatr Radiol. 2011 Sep;41 Suppl 2:517-22. doi: 10.1007/s00247-011-2136-x. Epub 2011 Aug 17.

Abstract

During the past decades, the use of CT to diagnose conditions and monitor treatment in the pediatric setting has increased. Infants and children often require procedural sedation to maintain a motionless state to ensure high-quality imaging. Various medication regimens have been recommended to achieve satisfactory sedation for this painless procedure. While the incidence of adverse events remains low, procedural sedation carries the risk of serious morbidity and mortality. The use of evidence-based, structured approaches to procedural sedation should be used to reduce variation in clinical practice and improve outcomes.

摘要

在过去几十年中,CT 已被广泛用于儿科疾病的诊断和治疗监测。为了确保高质量的成像效果,婴幼儿在检查时常需要接受镇静处理,以保持静止不动的状态。为了实现这一无痛检查过程的满意镇静效果,已经推荐了各种药物治疗方案。虽然不良事件的发生率仍然较低,但镇静处理仍然存在严重发病率和死亡率的风险。使用基于证据的、结构化的镇静处理方法,应有助于减少临床实践中的差异,并改善治疗效果。

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