在急诊科对一名患有自闭症谱系障碍的攻击性青少年持续输注右美托咪定以维持镇静
Continuous Infusion of Dexmedetomidine for Maintenance of Sedation in an Aggressive Adolescent with Autism Spectrum Disorder in the Emergency Department.
作者信息
Cozzi Giorgio, Zago Alessandro, Poropat Federico, Rabach Ingrid, Barbi Egidio, Amaddeo Alessandro
机构信息
Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", 34137 Trieste, Italy.
Department of Medicine, Surgery and Health Sciences, University of Trieste, 34127 Trieste, Italy.
出版信息
Children (Basel). 2024 Jul 9;11(7):833. doi: 10.3390/children11070833.
BACKGROUND
The treatment of aggressive behavior and agitation in pediatric patients with autism spectrum disorder (ASD) in the emergency department is topical and challenging.
CASE PRESENTATION
We described an adolescent with autism spectrum disorder treated ten times in the pediatric emergency department for severe episodes of aggressiveness and agitation. After resolving the acute phase of these behavioural crises, sedation was maintained with a continuous infusion of dexmedetomidine to prevent the resurgence of agitation and to organize discharge properly, considering the family's needs. The continuous infusion of dexmedetomidine allowed the patient to remain asleep most of the time during his stay at the emergency department. No adverse events were recorded.
CONCLUSIONS
The continuous infusion of dexmedetomidine could represent a safe and valuable tool to facilitate the permanence of the patient in the PED.
背景
急诊部门对患有自闭症谱系障碍（ASD）的儿科患者攻击性行为和激越的治疗是热门且具有挑战性的。
病例介绍
我们描述了一名患有自闭症谱系障碍的青少年，因严重的攻击和激越发作在儿科急诊科接受了10次治疗。在解决这些行为危机的急性期后，考虑到家庭需求，通过持续输注右美托咪定维持镇静，以防止激越复发并妥善安排出院。在患者留观急诊科期间，持续输注右美托咪定使患者大部分时间处于睡眠状态。未记录到不良事件。
结论
持续输注右美托咪定可能是促进患者在儿科急诊室留观的一种安全且有价值的工具。
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