Pollak Uri, Serraf Alain
1 Pediatric Cardiac Intensive Care Unit, The Edmond J. Safra International Congenital Heart Center, The Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
2 Pediatric Cardiology, The Edmond J. Safra International Congenital Heart Center, The Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
World J Pediatr Congenit Heart Surg. 2018 May;9(3):315-325. doi: 10.1177/2150135118755977.
Pain prevention in the pediatric population is mandatory and an integrative aspect of medical practice. Optimal pain management is the right of all patients and the responsibility of all health professionals. The key to adequate pain management is assessing its presence and severity, identifying those who require intervention, and appreciating treatment efficacy. The population of pediatric patients undergoing cardiac surgery is unique in both clinical severity and hemodynamic response to painful stimuli, thus making pain management even more challenging. In this review, we will describe the different pain assessment tools as well as intra- and postoperative regimens of pain management.
在儿科人群中预防疼痛是强制性的，也是医疗实践的一个综合方面。最佳疼痛管理是所有患者的权利，也是所有医护人员的责任。充分疼痛管理的关键在于评估疼痛的存在和严重程度，确定需要干预的患者，并评估治疗效果。接受心脏手术的儿科患者群体在临床严重程度和对疼痛刺激的血流动力学反应方面都很独特，因此疼痛管理更具挑战性。在本综述中，我们将描述不同的疼痛评估工具以及疼痛管理的术中和术后方案。
