Herbinger Lisa Allison
Department of Nurse Anesthesia, Samford University, Birmingham, AL; Department of Anesthesia, Children's of Alabama, Birmingham, AL.
J Perianesth Nurs. 2024 Dec;39(6):943-948. doi: 10.1016/j.jopan.2024.02.003. Epub 2024 May 2.
The use of opioid-sparing and opioid-free strategies in children can provide adequate analgesia while decreasing the risk of adverse events and contributing to the ongoing battle against the opioid crisis. However, every child must be evaluated individually so that a safe and efficacious perioperative pain management plan can be created. A working knowledge of the risks and benefits of opioids, nonopioid adjuncts, and regional anesthesia along with the ethical considerations for balancing stewardship and beneficent care is essential to the success of these strategies. As perioperative practitioners caring for children, we have an obligation to consider opioid-sparing and opioid-free strategies to promote overall best outcomes. We can make a difference, one child at a time.
在儿童中使用减少阿片类药物和无阿片类药物策略，可在降低不良事件风险的同时提供充分镇痛，并助力应对阿片类药物危机的持久战。然而，必须对每个儿童进行个体评估，以便制定安全有效的围手术期疼痛管理计划。了解阿片类药物、非阿片类辅助药物和区域麻醉的风险与益处，以及平衡管理和有益护理的伦理考量，对于这些策略的成功至关重要。作为照顾儿童的围手术期从业者，我们有责任考虑减少阿片类药物和无阿片类药物策略，以促进总体最佳结果。我们可以一次改变一个孩子的状况。
