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儿科患者的程序性镇静与镇痛

Procedural sedation and analgesia in pediatric patients.

作者信息

Mahajan Charu, Dash Hari Hara

机构信息

Department of Anesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Department of Anesthesiology, Fortis Memorial Research Institute, Gurgaon, Haryana, India.

出版信息

J Pediatr Neurosci. 2014 Jan;9(1):1-6. doi: 10.4103/1817-1745.131469.

DOI:10.4103/1817-1745.131469
PMID:24891893
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4040023/
Abstract

A spectrum of conditions requires sedation and analgesia in pediatric population. Ineffective treatment of pain may result in physiological and behavioral responses that can adversely affect the developing nociceptive system. The recognition of pain in children can be facilitated by different pain scales. This article reviews the procedural sedation and analgesia (PSA) practices in children along with pharmacology of the drugs used for this purpose.

摘要

一系列病症需要对儿科患者进行镇静和镇痛。疼痛治疗无效可能会导致生理和行为反应,进而对发育中的伤害性感受系统产生不利影响。不同的疼痛量表有助于识别儿童的疼痛。本文回顾了儿童程序性镇静和镇痛(PSA)的实践以及用于此目的的药物药理学。

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本文引用的文献

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A survey of procedural sedation and analgesia practices in pediatric oncology centers in India.印度儿科肿瘤中心程序性镇静和镇痛实践调查。
Indian J Pediatr. 2012 Dec;79(12):1610-6. doi: 10.1007/s12098-012-0724-x. Epub 2012 Mar 16.
2
Dexmedetomidine sedation: uses in pediatric procedural sedation outside the operating room.右美托咪定镇静:在手术室以外的儿科程序性镇静中的应用。
Pediatr Emerg Care. 2012 Mar;28(3):292-6. doi: 10.1097/PEC.0b013e3182495e1b.
3
Propofol and Etomidate are Safe for Deep Sedation in the Emergency Department.丙泊酚和依托咪酯可安全用于急诊科的深度镇静。
West J Emerg Med. 2011 Nov;12(4):399-403. doi: 10.5811/westjem.2011.5.2099.
4
Dexmedetomidine and ketamine: an effective alternative for procedural sedation?右美托咪定和氯胺酮:一种有效的操作镇静替代方法?
Pediatr Crit Care Med. 2012 Jul;13(4):423-7. doi: 10.1097/PCC.0b013e318238b81c.
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Curr Opin Crit Care. 2011 Aug;17(4):317-22. doi: 10.1097/MCC.0b013e328348bf43.
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Effects of different doses of remifentanil infusion on hemodynamics and recovery in children undergoing pediatric diagnostic cardiac catheterization.不同剂量瑞芬太尼输注对行小儿诊断性心导管术患儿血流动力学和恢复的影响。
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Review article: Safety profile of propofol for paediatric procedural sedation in the emergency department.综述文章:在急诊科对儿科患者进行操作镇静时使用异丙酚的安全性概况。
Emerg Med Australas. 2010 Aug;22(4):265-86. doi: 10.1111/j.1742-6723.2010.01298.x.
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