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通过高效的恢复室护理改善小儿术后恢复——一项综述

Improving Postoperative Pediatric Recovery by Efficient Recovery Room Care-A Comprehensive Review.

作者信息

Korell Lisa, Fideler Frank

机构信息

Department of Anesthesiology and Intensive Care Medicine, University Hospital, Eberhard Karls University Tuebingen, 72076 Tuebingen, Germany.

出版信息

Children (Basel). 2025 Apr 28;12(5):568. doi: 10.3390/children12050568.

Abstract

: Efficient postoperative recovery room care in pediatric patients is crucial for optimizing perioperative safety, patient outcome, and effective pain management. However, this area is frequently underemphasized, leading to higher complication rates compared to the operating room, which in turn increases healthcare costs. Improving pediatric recovery room care offers a significant opportunity to enhance the quality and safety of perioperative pediatric care. From an economic perspective, this is prudent; however, more importantly, every child has the right to the highest attainable standard of health, as outlined by the United Nations. Key aspects of recovery room care include ensuring adequate staffing and equipment, while also prioritizing the child's privacy and parental presence, both of which are crucial for enhancing patient well-being. A +multimodal approach to postoperative pain management is essential for minimizing fear and stress, alongside strict adherence to established guidelines for the management of postoperative nausea, vomiting, and emergence delirium. Furthermore, addressing risk factors such as hypothermia and airway complications, as well as promoting early intake of clear fluids, plays a crucial role in optimizing pediatric recovery. Organizational strategies such as quality improvement initiatives, structured handovers, standardized care protocols with checklists, continuous staff training, and well-defined discharge criteria are further essential components to reduce translational gaps and to enhance postoperative pediatric safety. : Improving pediatric postoperative anesthetic care is a multifaceted challenge for all healthcare providers that can significantly enhance care quality and safety while also reducing costs. Success in this area requires addressing both structural and medical factors.

摘要

小儿患者术后在恢复室得到高效护理对于优化围手术期安全性、患者预后及有效疼痛管理至关重要。然而,这一领域常常未得到足够重视,导致与手术室相比并发症发生率更高,进而增加了医疗成本。改善小儿恢复室护理为提高围手术期小儿护理的质量和安全性提供了重大机遇。从经济角度看,这是明智之举;然而,更重要的是,如联合国所概述的,每个儿童都有权享有能达到的最高健康标准。恢复室护理的关键方面包括确保充足的人员配备和设备,同时优先考虑儿童的隐私和家长陪伴,这两者对于提高患者福祉都至关重要。采用多模式方法进行术后疼痛管理对于将恐惧和压力降至最低至关重要,同时要严格遵守术后恶心、呕吐及苏醒期谵妄管理的既定指南。此外,应对体温过低和气道并发症等风险因素,以及促进尽早摄入清亮液体,在优化小儿恢复方面发挥着关键作用。质量改进举措、结构化交接、带有检查表的标准化护理方案、持续的人员培训以及明确的出院标准等组织策略是减少转化差距和提高小儿术后安全性的进一步重要组成部分。改善小儿术后麻醉护理对所有医疗服务提供者而言是一项多方面的挑战,这既能显著提高护理质量和安全性,又能降低成本。在这一领域取得成功需要解决结构和医疗两方面的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc0b/12109961/f9486f0b2fcb/children-12-00568-g001.jpg

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