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烧伤患儿创面换药时中深度镇静的研究进展

冯华丽 王莎 项芹 徐彩娟 仲宇 郑欣欣 尤敏 兰岚

冯华丽, 王莎, 项芹, 等. 烧伤患儿创面换药时中深度镇静的研究进展[J]. 中华烧伤与创面修复杂志, 2023, 39(1): 96-100. DOI: 10.3760/cma.j.cn501225-20220421-00153.
引用本文: 冯华丽, 王莎, 项芹, 等. 烧伤患儿创面换药时中深度镇静的研究进展[J]. 中华烧伤与创面修复杂志, 2023, 39(1): 96-100. DOI: 10.3760/cma.j.cn501225-20220421-00153.
Feng HL,Wang S,Xiang Q,et al.Research progress on moderate and deep sedation during wound dressing change in pediatric burn patients[J].Chin J Burns Wounds,2023,39(1):96-100.DOI: 10.3760/cma.j.cn501225-20220421-00153.
Citation: Feng HL,Wang S,Xiang Q,et al.Research progress on moderate and deep sedation during wound dressing change in pediatric burn patients[J].Chin J Burns Wounds,2023,39(1):96-100.DOI: 10.3760/cma.j.cn501225-20220421-00153.

烧伤患儿创面换药时中深度镇静的研究进展

doi: 10.3760/cma.j.cn501225-20220421-00153
详细信息
    通讯作者:

    徐彩娟,Email:xucaijuan@zju.edu.cn

Research progress on moderate and deep sedation during wound dressing change in pediatric burn patients

More Information
  • 摘要: 中深度镇静能有效减轻或消除烧伤患儿创面换药时的疼痛及躯体不适感,改善患儿焦虑、躁动甚至谵妄,降低患儿的代谢速率,使其处于安静、舒适、配合的状态,有助于换药操作的顺利完成。该文从烧伤患儿中深度镇静的相关概述、实施要点及作用三大方面进行综述,详细介绍了不同给药途径的中深度镇静用药方案及评估与监测内容,并对相关并发症的预防及管理、中深度镇静实施流程管理提出建议,以期为我国开展烧伤患儿创面换药的中深度镇静提供借鉴。

     

  • 参考文献(35)

    [1] 《中华烧伤杂志》编辑委员会.成人烧伤疼痛管理指南(2013版)[J].中华烧伤杂志,2013,29(3):225-231.DOI: 10.3760/cma.j.issn.1009-2587.2013.03.002.
    [2] 吴巍巍,路英慧,程丹,等.烧伤患儿的疼痛评估及非药物干预研究进展[J].中华烧伤杂志,2020,36(1):76-80.DOI: 10.3760/cma.j.issn.1009-2587.2020.01.015.
    [3] ISBI Practice Guidelines Committee,SubcommitteeAdvisory, SubcommitteeSteering.ISBI practice guidelines for burn care, part 2[J].Burns,2018,44(7):1617-1706.DOI: 10.1016/j.burns.2018.09.012.
    [4] ChanR,Van SlykeAC,BucevskaM,et al.A 3-year review of an outpatient burn sedation program in a tertiary burn care centre: is it safe and does it work?[J].Plast Surg (Oakv),2019,27(4):305-310.DOI: 10.1177/2292550319876663.
    [5] Practice guidelines for moderate procedural sedation and analgesia 2018: a report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology[J].Anesthesiology,2018,128(3):437-479.DOI: 10.1097/ALN.0000000000002043.
    [6] ShiferawA,MolaS,GashawA,et al. Evidence-based practical guideline for procedural pain management and sedation for burn pediatrics patients undergoing wound care procedures[J]. Ann Med Surg (Lond), 2022,83:104756.DOI: 10.1016/j.amsu.2022.104756.
    [7] CotéCJ,WilsonS,AMERICANACADEMY OF PEDIATRICS,et al.Guidelines for monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures[J].Pediatrics,2019,143(6):e20191000.DOI: 10.1542/peds.2019-1000.
    [8] GreenSM,RobackMG,KraussBS,et al.Unscheduled procedural sedation: a multidisciplinary consensus practice guideline[J].Ann Emerg Med,2019,73(5):e51-e65.DOI: 10.1016/j.annemergmed.2019.02.022.
    [9] GregorettiC,DecaroliD,PiacevoliQ,et al.Analgo-sedation of patients with burns outside the operating room[J].Drugs,2008,68(17):2427-2443.DOI: 10.2165/0003495-200868170-00003.
    [10] FaginA,PalmieriTL.Considerations for pediatric burn sedation and analgesia[J/OL].Burns Trauma,2017,5:28[2022-04-21].https://pubmed.ncbi.nlm.nih.gov/29051890/.DOI: 10.1186/s41038-017-0094-8.
    [11] SeolTK,LimJK,YooEK,et al.Propofol-ketamine or propofol-remifentanil for deep sedation and analgesia in pediatric patients undergoing burn dressing changes: a randomized clinical trial[J].Paediatr Anaesth,2015,25(6):560-566.DOI: 10.1111/pan.12592.
    [12] CanpolatDG,EsmaogluA,TosunZ,et al.Ketamine-propofol vs ketamine-dexmedetomidine combinations in pediatric patients undergoing burn dressing changes[J].J Burn Care Res,2012,33(6):718-722.DOI: 10.1097/BCR.0b013e3182504316.
    [13] NorambuenaC,YañezJ,FloresV,et al.Oral ketamine and midazolam for pediatric burn patients: a prospective, randomized, double-blind study[J].J Pediatr Surg,2013,48(3):629-634.DOI: 10.1016/j.jpedsurg.2012.08.018.
    [14] YangC,XuXM,HeGZ.Efficacy and feasibility of opioids for burn analgesia: an evidence-based qualitative review of randomized controlled trials[J].Burns,2018,44(2):241-248.DOI: 10.1016/j.burns.2017.10.012.
    [15] LiL,ZhouJ,YuD,et al.Intranasal dexmedetomidine versus oral chloral hydrate for diagnostic procedures sedation in infants and toddlers: a systematic review and meta-analysis[J].Medicine (Baltimore),2020,99(9):e19001.DOI: 10.1097/MD.0000000000019001.
    [16] GuthrieAM,BaumRA,CarterC,et al.Use of intranasal ketamine in pediatric patients in the emergency department[J].Pediatr Emerg Care,2021,37(12):e1001-e1007.DOI: 10.1097/PEC.0000000000001863.
    [17] GrossmannB,NilssonA,SjöbergF,et al.Rectal ketamine during paediatric burn wound dressing procedures: a randomised dose-finding study[J].Burns,2019,45(5):1081-1088.DOI: 10.1016/j.burns.2018.12.012.
    [18] FrestadiusA,GrehnF,KildalM,et al.Intranasal dexmedetomidine and rectal ketamine for young children undergoing burn wound procedures[J].Burns,2022,48(6):1445-1451.DOI: 10.1016/j.burns.2021.08.005.
    [19] 张婉莹,戴燕红,金花,等.儿童镇静程度评估工具的研究进展[J].中华护理杂志,2021,56(11):1644-1648.DOI: 10.3761/j.issn.0254-1769.2021.11.007.
    [20] HansenJK,VossJ,GanatraH,et al.Sedation and analgesia during pediatric burn dressing change: a survey of American Burn Association centers[J].J Burn Care Res,2019,40(3):287-293.DOI: 10.1093/jbcr/irz023.
    [21] TapiaR,López-HerceJ,AriasÁ,et al.Validity and reliability of the richmond agitation-sedation scale in pediatric intensive care patients: a multicenter study[J].Front Pediatr,2021,9:795487.DOI: 10.3389/fped.2021.795487.
    [22] YangJO,KimSJ,ChoH,et al.Effects of a conscious sedation dressing on pain and anxiety in pediatric burn patients[J].Jpn J Nurs Sci,2020,17(1):e12273.DOI: 10.1111/jjns.12273.
    [23] DobsonG,ChongMA,ChowL,et al.Procedural sedation: a position paper of the Canadian Anesthesiologists' Society[J].Can J Anaesth,2018,65(12):1372-1384.DOI: 10.1007/s12630-018-1230-z.
    [24] CraveroJP,AgarwalR,BerdeC,et al.The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period[J].Paediatr Anaesth,2019,29(6):547-571.DOI: 10.1111/pan.13639.
    [25] 贾梦倩,袁心刚.烧伤儿童药物镇静镇痛的现状及研究进展[J].中华烧伤与创面修复杂志,2022,38(2):190-195.DOI: 10.3760/cma.j.cn501120-20200908-00404.
    [26] ParkSW,LeeH,AhnH.Bispectral index versus standard monitoring in sedation for endoscopic procedures: a systematic review and meta-analysis[J].Dig Dis Sci,2016,61(3):814-824.DOI: 10.1007/s10620-015-3945-9.
    [27] MalviyaS,Voepel-LewisT,TaitAR,et al.Effect of age and sedative agent on the accuracy of bispectral index in detecting depth of sedation in children[J].Pediatrics,2007,120(3):e461-470.DOI: 10.1542/peds.2006-2577.
    [28] NemethM,JacobsenN,BantelC,et al.Intranasal analgesia and sedation in pediatric emergency care-a prospective observational study on the implementation of an institutional protocol in a tertiary children's hospital[J].Pediatr Emerg Care,2019,35(2):89-95.DOI: 10.1097/PEC.0000000000001017.
    [29] 胡再昌,徐刚,张筱薇,等.右美托咪定复合氯胺酮在烧伤患者换药过程中应用的效果荟萃分析[J].中华烧伤杂志,2020,36(6):458-464.DOI: 10.3760/cma.j.cn501120-20190327-00145.
    [30] GriggsC,GovermanJ,BittnerEA,et al.Sedation and pain management in burn patients[J].Clin Plast Surg,2017,44(3):535-540.DOI: 10.1016/j.cps.2017.02.026.
    [31] HeinrichM,WetzsteinV,MuenstererOJ,et al.Conscious sedation: off-label use of rectal S(+)-ketamine and midazolam for wound dressing changes in paediatric heat injuries[J].Eur J Pediatr Surg,2004,14(4):235-239.DOI: 10.1055/s-2004-817960.
    [32] KraussB,GreenSM.Procedural sedation and analgesia in children[J].Lancet,2006,367(9512):766-780.DOI: 10.1016/S0140-6736(06)68230-5.
    [33] GreenSM,LeroyPL,RobackMG,et al.An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children[J].Anaesthesia,2020,75(3):374-385.DOI: 10.1111/anae.14892.
    [34] 刘佐嘉,戈晓华.重症监护室机械通气患儿镇静护理现状及影响因素调查[J].上海护理,2018,18(8):14-18.DOI: 10.3969/j.issn.1009-8399.2018.08.003.
    [35] 王海青,辛美云,朱洪峰,等.山东省多中心儿童重症监护室镇静镇痛治疗及管理状况调查[J].中国小儿急救医学,2020,27(4):279-283.DOI: 10.3760/cma.j.issn.1673-4912.2020.04.009.
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  • 收稿日期:  2022-04-21

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