Macpherson C F, Lundblad L A
Department of Pediatric Hematology/Oncology, Children's Hospital of Western Ontario, London, Canada.
J Pediatr Oncol Nurs. 1997 Jan;14(1):33-42; quiz 43-4. doi: 10.1177/104345429701400106.
Pain during treatment procedures is often identified as the most distressing aspect of the entire cancer experience for a child with cancer. The use of conscious sedation may reduce this procedure-related pain and distress. A clinical practice protocol is necessary to maximize the efficacy and safety of conscious sedation use. In this article, the processes of developing and implementing a conscious sedation protocol for pediatric oncology patients undergoing painful procedures are presented. The protocol itself is included. A review of the literature on conscious sedation is presented, and implications for pediatric oncology nursing practice are discussed.
在治疗过程中,疼痛往往被认为是癌症患儿整个抗癌经历中最令人痛苦的方面。使用清醒镇静可能会减轻与治疗相关的疼痛和痛苦。制定临床实践方案对于最大限度地提高清醒镇静的有效性和安全性至关重要。本文介绍了为接受疼痛治疗的儿科肿瘤患者制定和实施清醒镇静方案的过程。方案本身也包含在内。本文还对清醒镇静的文献进行了综述,并讨论了其对儿科肿瘤护理实践的启示。