Sfez M
Département d'anesthésie-réanimation, Hôpital St. Vincent-de-Paul, Paris.
Agressologie. 1990 Jan;31(1):17-9.
Postoperative analgesia remains frequently insufficient in children. This is in part due to the difficult assessment of pain in the different age groups. In addition, analgesics are commonly ordered inadequately, especially with regard to age-dependent changes in their pharmacokinetics. This often leads to an inadequate administration of different drugs. The different analgesic drugs and techniques available allow to establish guidelines for postoperative analgesia in different age groups of children, under different surgical and postoperative conditions. On the basis of such guidelines, ordered analgesics have a greater chance to be really administered at the proper time to each child.
儿童术后镇痛常常仍不充分。部分原因在于不同年龄组疼痛评估困难。此外,镇痛药的医嘱通常不合理,尤其是在其药代动力学存在年龄依赖性变化方面。这往往导致不同药物给药不足。现有的不同镇痛药物和技术有助于针对不同年龄组儿童、在不同手术及术后条件下制定术后镇痛指南。基于此类指南,所开具的镇痛药更有可能在恰当时间真正给予每个儿童。