烧伤患者疼痛、躁动和谵妄的药物治疗管理。

Pharmacologic Management of Pain, Agitation, and Delirium in Burn Patients.

机构信息

US Army Institute of Surgical Research, 3698 Chambers Pass, ATTN: FCMR-SRT, JBSA Fort Sam, Houston, TX 78234, USA; Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.

US Army Institute of Surgical Research, 3698 Chambers Pass, ATTN: FCMR-SRT, JBSA Fort Sam, Houston, TX 78234, USA; Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Federal Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany.

出版信息

Surg Clin North Am. 2023 Jun;103(3):495-504. doi: 10.1016/j.suc.2023.02.003. Epub 2023 Mar 21.

DOI:10.1016/j.suc.2023.02.003

PMID:37149385

Abstract

The majority of hospitalized burn patients experience pain, agitation, and delirium. The development of each one of these conditions can also lead to, or worsen, the others. Providers, therefore, need to thoroughly assess the underlying issue to determine the most effective treatment. Multimodal pharmacologic regimens are often used in conjunction with non-pharmacologic strategies to manage pain, agitation, and delirium. This review focuses on the pharmacologic management of these complicated patients in a critical-care setting.

摘要

大多数住院烧伤患者都会经历疼痛、躁动和谵妄。这些情况的每一种发展都可能导致或加重其他情况。因此，医护人员需要彻底评估潜在问题，以确定最有效的治疗方法。多模式药物治疗方案通常与非药物策略联合使用，以管理疼痛、躁动和谵妄。本文重点讨论了在重症监护环境下对这些复杂患者的药物治疗管理。