接受心脏手术的儿科患者的术后疼痛管理：我们正走向何方？
Postoperative Pain Management in Pediatric Patients Undergoing Cardiac Surgery: Where Are We Heading?
作者信息
Pollak Uri, Bronicki Ronald A, Achuff Barbara-Jo, Checchia Paul A
机构信息
1 Pediatric Cardiac Critical Care Unit, Hadassah University Medical Center, Ein Kerem, Jerusalem, Israel.
2 Pediatric Cardiology, Hadassah University Medical Center, Ein Kerem, Jerusalem, Israel.
出版信息
J Intensive Care Med. 2019 Aug 25:885066619871432. doi: 10.1177/0885066619871432.
OBJECTIVES
Adequate postoperative pain management is crucial in pediatric patients undergoing cardiac surgery because pain can lead to devastating short- and long-term consequences. This review discusses the limitations of current postoperative pain assessment and management in children after cardiac surgery, the obstacles to providing optimal treatment, and concepts to consider that may overcome these barriers.
DATA SOURCE
MEDLINE and PubMed.
CONCLUSIONS
Effective pain management in infants and young children undergoing cardiac surgery continues to evolve with innovative methods of both assessment and therapy using newer drugs or novel routes of administration. Artificial intelligence- and machine learning-based pain assessment and patient-tailored management in both pain measurement and prevention are already being integrated into the routine of current practice.
目的
对于接受心脏手术的儿科患者而言，充分的术后疼痛管理至关重要，因为疼痛可能导致严重的短期和长期后果。本综述讨论了当前心脏手术后儿童术后疼痛评估和管理的局限性、提供最佳治疗的障碍以及可能克服这些障碍的需考虑的概念。
数据来源
医学文献数据库和PubMed。
结论
随着使用更新药物或新型给药途径的评估和治疗创新方法的出现，接受心脏手术的婴幼儿的有效疼痛管理在不断发展。基于人工智能和机器学习的疼痛评估以及在疼痛测量和预防方面的患者个性化管理已被纳入当前的常规实践中。
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