Jang Young-Eun, Kim Jin-Tae
Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Anesth Pain Med (Seoul). 2024 Oct;19(Suppl 1):S36-S48. doi: 10.17085/apm.24046. Epub 2024 Jul 23.
Pediatric sedation is a crucial tool for minimizing pain and anxiety during procedures and examinations in children. However, it is not without risks. This review provides a comprehensive review of pediatric sedation, including both established practices and recent advancements. A thorough pre-procedural evaluation is crucial to mitigate these risks. Skilled healthcare professionals trained in pediatric sedation are paramount to ensure a safe and effective procedure. The choice of sedative medication depends on various factors, such as the type of procedure and the patient's medical condition. Medications, used alone or in combination, offer sedation with varying onset times and durations. Non-pharmacological approaches can complement pharmacological sedation and further reduce potential complications. Preventing sedation-related complications requires a multidisciplinary approach. This includes collaborative decision-making, vigilant monitoring throughout the procedure, and a focus on patient safety. Recovery involves ensuring the child returns to their baseline status before discharge, following established criteria. In conclusion, successful pediatric sedation hinges on a comprehensive strategy. This strategy encompasses a thorough evaluation, skilled personnel, appropriate medication selection, vigilant monitoring, and a focus on patient safety throughout the process. By following these steps, we can minimize risks and achieve successful outcomes.
儿科镇静是在儿童进行手术和检查期间将疼痛和焦虑降至最低的关键手段。然而,它并非没有风险。本综述全面回顾了儿科镇静,包括既定做法和最新进展。全面的术前评估对于降低这些风险至关重要。接受过儿科镇静培训的熟练医护人员对于确保手术安全有效至关重要。镇静药物的选择取决于多种因素,如手术类型和患者的病情。单独使用或联合使用的药物可提供起效时间和持续时间各异的镇静效果。非药物方法可补充药物镇静并进一步减少潜在并发症。预防与镇静相关的并发症需要多学科方法。这包括共同决策、在整个手术过程中进行密切监测以及关注患者安全。恢复过程包括确保儿童在出院前按照既定标准恢复到基线状态。总之,成功的儿科镇静取决于全面的策略。该策略包括全面评估、熟练人员、适当的药物选择、密切监测以及在整个过程中关注患者安全。通过遵循这些步骤,我们可以将风险降至最低并取得成功的结果。