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小儿烧伤患者伤口换药时中深度镇静的研究进展

[Research progress on moderate and deep sedation during wound dressing change in pediatric burn patients].

作者信息

Feng H L, Wang S, Xiang Q, Xu C J, Zhong Y, Zheng X X, You M, Lan L

机构信息

School of Nursing, Huzhou University, Huzhou 313000, China.

Department of Nursing, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China.

出版信息

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Jan 20;39(1):96-100. doi: 10.3760/cma.j.cn501225-20220421-00153.

Abstract

Moderate and deep sedation can effectively relieve or eliminate the pain and body discomfort during wound dressing change in pediatric burn patients, relieve anxiety, agitation, and even delirium of the children, reduce the metabolic rate of the children, make them in a quiet, comfortable, and cooperative state, which is conducive to the smooth completion of dressing change. This paper summarized the three aspects of moderate and deep sedation in pediatric burn patients, including the overview, main points of implementation, and effects, and further introduced the moderate and deep sedation medication regimens for different routes of administration, as well as the content of evaluation and monitoring. Suggestions on the prevention and management of related complications and the management of moderate and deep sedation implementation procedures were put forward, in order to provide references for the development of moderate and deep sedation for wound dressing change in pediatric burn patients in China.

摘要

中度和深度镇静可有效缓解或消除小儿烧伤患者伤口换药时的疼痛和身体不适,缓解患儿的焦虑、躁动甚至谵妄,降低患儿的代谢率,使其处于安静、舒适和配合的状态,有利于换药的顺利完成。本文总结了小儿烧伤患者中度和深度镇静的三个方面,包括概述、实施要点和效果,并进一步介绍了不同给药途径的中度和深度镇静用药方案,以及评估和监测的内容。提出了相关并发症的预防和管理以及中度和深度镇静实施流程管理的建议,以期为我国小儿烧伤患者伤口换药中度和深度镇静的开展提供参考。

相似文献

1
[Research progress on moderate and deep sedation during wound dressing change in pediatric burn patients].小儿烧伤患者伤口换药时中深度镇静的研究进展
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Jan 20;39(1):96-100. doi: 10.3760/cma.j.cn501225-20220421-00153.

本文引用的文献

2
[Current status and research advances on drug sedation and analgesia in burn children].[小儿烧伤药物镇静镇痛的研究现状与进展]
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Feb 20;38(2):190-195. doi: 10.3760/cma.j.cn501120-20200908-00404.
7
[Advances in the research of pain assessment and non-drug intervention in burn children].[小儿烧伤疼痛评估与非药物干预的研究进展]
Zhonghua Shao Shang Za Zhi. 2020 Jan 20;36(1):76-80. doi: 10.3760/cma.j.issn.1009-2587.2020.01.015.

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