Lou JQ,Li Y,Cui QW,et al.A prospectively randomized controlled study of the effects of intensive insulin therapy combined with glutamine on nutritional metabolism, inflammatory response, and hemodynamics in severe burn patients[J].Chin J Burns,2021,37(9):821-830.DOI: 10.3760/cma.j.cn501120-20210428-00159.
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.
Lou JQ,Li Y,Cui QW,et al.A prospectively randomized controlled study of the effects of intensive insulin therapy combined with glutamine on nutritional metabolism, inflammatory response, and hemodynamics in severe burn patients[J].Chin J Burns,2021,37(9):821-830.DOI: 10.3760/cma.j.cn501120-20210428-00159.
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.
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.
(1)分别于治疗1、3、7、14 d 8:00抽取4组患者静脉血5 mL,送至徐州医科大学附属淮海医院检验科检测血糖、白蛋白、前白蛋白、白细胞计数、降钙素原和C反应蛋白(CRP)。(2)每日取3次PiCCO监测参数的平均值为最终结果。统计4组患者治疗1、3、7 d心脏指数、每搏量指数(SVI)、全心舒张末期容积指数(GEDVI)、外周血管阻力指数(SVRI)、血管外肺水指数(EVLWI)、肺血管通透性指数(PVPI)。
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