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

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

冯华丽¹,
王莎¹,
项芹¹,
徐彩娟^2, ,,
仲宇¹,
郑欣欣¹,
尤敏¹,
兰岚¹

1.
湖州师范学院护理学院，湖州　　313000
2.
浙江大学医学院附属第二医院护理部，杭州　　310009

详细信息

通讯作者:
徐彩娟，Email：xucaijuan@zju.edu.cn

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出版历程
- 收稿日期: 2022-04-21

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

1.
School of Nursing, Huzhou University, Huzhou 313000, China
2.
Department of Nursing, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China

More Information

Corresponding author: Xu Caijuan, Email: xucaijuan@zju.edu.cn

摘要

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。
- 烧伤 /
- 儿童 /
- 中深度镇静 /
- 创面换药
Abstract: Moderate and deep sedation can effectively relieve or eliminate the pain and body discomfort during wound dressing change in pediatric burn patients, relieve anxiety, agitation, and even delirium of the children, reduce the metabolic rate of the children, make them in a quiet, comfortable, and cooperative state, which is conducive to the smooth completion of dressing change. This paper summarized the three aspects of moderate and deep sedation in pediatric burn patients, including the overview, main points of implementation, and effects, and further introduced the moderate and deep sedation medication regimens for different routes of administration, as well as the content of evaluation and monitoring. Suggestions on the prevention and management of related complications and the management of moderate and deep sedation implementation procedures were put forward, in order to provide references for the development of moderate and deep sedation for wound dressing change in pediatric burn patients in China.
- Burns /
- Child /
- Moderate and deep sedation /
- Wound dressing change
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参考文献(35)

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