Interpretation of 2022 edition of Ethiopia "Evidence-based practical guideline for procedural pain management and sedation for burn pediatrics patients undergoing wound care procedures"
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摘要: 儿童是烧伤高发人群,严重烧伤导致患儿皮肤生理结构遭到破坏,造成的疼痛极为剧烈。烧伤患儿极易产生焦虑、恐慌等不良情绪,影响治疗及康复效果。因此,控制疼痛和焦虑在烧伤患儿的管理中非常关键。埃塞俄比亚烧伤康复专家组成员经过系统的文献检索与评价于2022年在《Annals of Medicine and Surgery》杂志上发表了《烧伤患儿创面处理过程中的程序化疼痛管理和镇静的循证实践指南》,指导临床更加科学规范地进行相关疾病管理。该文旨在使我国临床医护人员了解相关最新证据,为有效管理烧伤患儿疼痛和伴随的焦虑、规范相关实践操作提供思路及依据。Abstract: Children are at high risk for burns, and severe burns can lead to the destruction of their skin's physiological structure, causing excruciating pain. Burned children are highly prone to adverse emotions such as anxiety and panic, which can impact the outcome of their treatment and rehabilitation. Therefore, managing pain and anxiety is crucial in the care of burned children. In 2022, "Evidence-based practical guideline for procedural pain management and sedation for burn pediatrics patients undergoing wound care procedures" was published in the journal "Annals of Medicine and Surgery" by Ethiopia expert panel engaged in burn rehabilitation after conducting a systematic literature search and evaluation, aiming to guide clinical management of related diseases in a more scientifical and standardized manner. This paper aims to inform clinical healthcare professionals in China to understand the latest relevant evidence, and to provide ideas and basis for effective management of pain and accompanying anxiety in children with burns, and standardized operations of relevant practice.
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Key words:
- Burns /
- Child /
- Pain /
- Sedation /
- Guideline interpretation
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参考文献
(26) [1] 章雄. 儿童烧伤治疗[J/CD]. 中华损伤与修复杂志(电子版) 2020,15(3): 240. DOI: 10.3877/cma.j.issn.1673-9450.2020.03.020. [2] 《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. [3] PrestonD, AmbardekarA. The pediatric burn: current trends and future directions[J]. Anesthesiol Clin, 2020,38(3):517-530. DOI: 10.1016/j.anclin.2020.05.003. [4] 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. [5] 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. [6] 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. [7] HsuJR, MirH, WallyMK, et al. Clinical practice guidelines for pain management in acute musculoskeletal injury[J]. J Orthop Trauma, 2019,33(5):e158-e182. DOI: 10.1097/BOT.0000000000001430. [8] DezfouliSMM, KhosraviS. Systematic review of the effective factors in pain management in children[J]. Pak J Med Health Sci, 2020, 14(2): 1236-1243. [9] 储靖, 李宏, 蔡春妹, 等. 右美托咪定与舒芬太尼鼻内给药用于儿童口腔科门诊手术镇静的临床观察[J]. 中山大学学报(医学科学版),2017, 38(3): 438-442. [10] 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. [11] 朱维莉 时杰 陆林 芬太尼口崩片的临床研究进展 2008年世界镇痛日新闻发布会暨全国微创疼痛治疗研讨会论文集 北京 2008 43 45 朱维莉, 时杰, 陆林. 芬太尼口崩片的临床研究进展[C] //中华医学会疼痛学分会.2008年世界镇痛日新闻发布会暨全国微创疼痛治疗研讨会论文集. 北京,2008: 43-45.
[12] YabrodiM, Shieh YuJ, SlavenJE, et al. Safety and efficacy of propofol- and ketamine-based procedural sedation regimen in pediatric patients during burn repetitive dressing change: 10 years single center experience[J]. J Burn Care Res, 2023,44(4):931-935. DOI: 10.1093/jbcr/irac144. [13] 张梦思, 黄磊, 朱辉, 等. 七氟醚吸入镇静镇痛应用于大面积烧伤患儿换药的前瞻性随机对照研究[J]. 中华烧伤与创面修复杂志, 2023, 39(11): 1014-1020. DOI: 10.3760/cma.j.cn501225-20230731-00027. [14] 范涛涛, 韩梅, 梁艳, 等. 氧化亚氮与氧气混合吸入技术在中重度烧伤患儿清创换药镇痛镇静中的应用效果[J]. 中华烧伤与创面修复杂志, 2023, 39(3): 248-255. DOI: 10.3760/cma.j.cn501225-20220308-00051. [15] BorlandML, BergesioR, PascoeEM, et al. Intranasal fentanyl is an equivalent analgesic to oral morphine in paediatric burns patients for dressing changes: a randomised double blind crossover study[J]. Burns, 2005,31(7):831-837. DOI: 10.1016/j.burns.2005.05.001. [16] KippingB, RodgerS, MillerK, et al. Virtual reality for acute pain reduction in adolescents undergoing burn wound care: a prospective randomized controlled trial[J]. Burns, 2012,38(5):650-657. DOI: 10.1016/j.burns.2011.11.010. [17] McQueenA, CressC, TothyA. Using a tablet computer during pediatric procedures: a case series and review of the "apps"[J]. Pediatr Emerg Care, 2012,28(7):712-714. DOI: 10.1097/PEC.0b013e31825d24eb. [18] Burns-NaderS, JoeL, PinionK. Computer tablet distraction reduces pain and anxiety in pediatric burn patients undergoing hydrotherapy: a randomized trial[J]. Burns, 2017,43(6):1203-1211. DOI: 10.1016/j.burns.2017.02.015. [19] ZuoG, WangR, WanC, et al. Unveiling the evolution of virtual reality in medicine: a bibliometric analysis of research hotspots and trends over the past 12 years[J]. Healthcare (Basel), 2024, 12(13):1266. DOI: 10.3390/healthcare12131266. [20] 王琼芳, 徐燕, 陆玮新. 虚拟现实技术在烧伤儿童疼痛管理中的研究进展[J]. 护理研究, 2021, 35(11): 1940-1943. DOI: 10.12102/j.issn.1009-6493.2021.11.012. [21] 段德庆, 张忠伟, 毛远桂, 等. 音乐疗法在儿童烧伤疼痛管理中的应用研究进展[J]. 中华烧伤与创面修复杂志, 2023, 39(3): 280-284. DOI: 10.3760/cma.j.cn501225-20220328-00098. [22] 彭慧, 郭秋云, 戴宇翃, 等. 催眠治疗改善癌症患者疼痛的临床研究和问卷调查[J]. 中国肿瘤临床, 2022, 49(9): 455-459. DOI: 10.12354/j.issn.1000-8179.2022.20211646. [23] JongMC, BoersI, van WietmarschenH, et al. Development of an evidence-based decision aid on complementary and alternative medicine (CAM) and pain for parents of children with cancer[J]. Support Care Cancer, 2020,28(5):2415-2429. DOI: 10.1007/s00520-019-05058-8. [24] HwangJ, BronderJ, MartinezNC, et al. Continuous electroencephalography markers of prognostication in comatose patients on extracorporeal membrane oxygenation[J]. Neurocrit Care, 2022, 37(1): 236-245. DOI: 10.1007/s12028-022-01482-7. [25] 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. [26] 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. -
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