Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9068, USA.
Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9068, USA.
Anesthesiol Clin. 2020 Sep;38(3):517-530. doi: 10.1016/j.anclin.2020.05.003. Epub 2020 Jul 15.
Management of the pediatric burn patient presents a variety of clinical challenges for the pediatric anesthesiologist. Despite the high incidence of burn injuries, standard management strategies are far from universal. The complex physiologic changes presented by burn injuries present airway management and resuscitation challenges and mandate careful consideration of adequate nutritional support. Long hospital stays with frequent operations and dressing changes necessitate creative approaches to anxiolysis and pain control. Underutilized modalities warranting further research include regional anesthesia and nonpharmacologic approaches, such as virtual reality. Further research and collaboration between burn centers are needed to standardize care for this population.
小儿烧伤患者的管理给小儿麻醉医师带来了各种临床挑战。尽管烧伤发生率很高,但标准的管理策略还远未普及。烧伤引起的复杂生理变化带来了气道管理和复苏挑战,需要仔细考虑充分的营养支持。长时间住院,频繁手术和换药需要创造性地解决焦虑和疼痛控制问题。需要进一步研究的未充分利用的方法包括区域麻醉和非药物方法,如虚拟现实。需要进一步研究和烧伤中心之间的合作,以标准化对这一人群的护理。