Altimier L, Norwood S, Dick M J, Holditch-Davis D, Lawless S
Good Samaritan Hospital, Cincinnati, OH.
J Pediatr Nurs. 1994 Aug;9(4):226-32.
A retrospective chart review was conducted to examine the prescription and administration of analgesics with and without caudal analgesia to inpatient preverbal children within the first 48 hours after surgery. The 75 subjects were between birth and 24 months of age and had undergone various operative procedures. Seventy (93%) of these subjects were prescribed analgesics, but 8 of them had only acetaminophen prescribed. Of the 70 subjects who had a medication prescribed, 64 (91%) patients received analgesics. Morphine was the most frequently administered analgesic. The prescribed and administered mean dosages were less than the minimum recommended dosage for morphine. The mean prescribed and administered dosage for other analgesics exceeded the minimum recommended dosage. Preverbal children who had caudal analgesia during surgery were more likely to receive fewer dosages of analgesics and to receive lower dosages of narcotics even after 24 hours postoperatively than children who had not had caudal analgesia.
进行了一项回顾性病历审查，以检查在术后48小时内对住院的学语前儿童使用和不使用骶管阻滞镇痛时镇痛药的处方和使用情况。75名受试者年龄在出生至24个月之间，接受了各种手术。其中70名（93%）受试者被开具了镇痛药，但其中8名仅开具了对乙酰氨基酚。在70名开具了药物的受试者中，64名（91%）患者接受了镇痛药。吗啡是最常使用的镇痛药。吗啡的处方和使用平均剂量低于推荐的最小剂量。其他镇痛药的处方和使用平均剂量超过了推荐的最小剂量。与未接受骶管阻滞镇痛的儿童相比，在手术期间接受骶管阻滞镇痛的学语前儿童即使在术后24小时后也更有可能接受较少剂量的镇痛药和较低剂量的麻醉药。
