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

Feng Huali; Wang Sha; Xiang Qin; Xu Caijuan; Zhong Yu; Zheng Xinxin; You Min; Lan Lan

doi:10.3760/cma.j.cn501225-20220421-00153

Volume 39 Issue 1

Jan. 2023

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2023 > 39(1): 96-104

He Tingting, Zhang Xiuhang, Kong Xiangli, et al. Effect of virtual reality video-based pre-discharge psychological intervention on the post-discharge emotions of patients with deep facial burns: a prospective randomized controlled study[J]. Chin j Burns, 2021, 37(1): 70-75. DOI: 10.3760/cma.j.cn501120-20191226-00473

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.

Citation:

PDF( 724 KB)

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

doi: 10.3760/cma.j.cn501225-20220421-00153

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
Received Date: 2022-04-21

Abstract

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

FullText(HTML)

References(35)

References

[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.

Relative Articles

[1]	Liu Lili, Ding Yaping, Xia Shanshan, Zhang Chenmei. Interpretation of 2022 edition of Ethiopia "Evidence-based practical guideline for procedural pain management and sedation for burn pediatrics patients undergoing wound care procedures"[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(9): 897-900. doi: 10.3760/cma.j.cn501225-20240216-00060
[2]	Liang Yan, Shi Wen, Shao Yang, Liu Xinzhuang, Gong Hongmin, Cao Guohui, Gao Cong, Xin Naijun, Song Guodong. Effects of early debridement and conservative eschar removal followed by wound coverage with acellular dermal matrix in the treatment of children with deep burns[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(4): 348-357. doi: 10.3760/cma.j.cn501225-20230720-00010
[3]	Duan Deqing, Zhang Zhongwei, Mao Yuangui, Zhang Hongyan. Research advances on the application of music therapy in pain management of children with burns[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(3): 280-284. doi: 10.3760/cma.j.cn501225-20220328-00098
[4]	Huo Ting, Xu Xiangyang, Xie Weiguo, Liu Shuhua. Research advances on the application of rehabilitation exercise training in pediatric burn rehabilitation[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(3): 275-279. doi: 10.3760/cma.j.cn501225-20220116-00008
[5]	Zhang Mengsi, Huang Lei, Zhu Hui, Ma Yiqun, Fu Jinfeng. Prospective randomized controlled trial on the application of sevoflurane inhalation sedation and analgesia during dressing changes in children with extensive burns[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(11): 1014-1020. doi: 10.3760/cma.j.cn501225-20230731-00027
[6]	Fan Taotao, Han Mei, Liang Yan, Cao Guohui, Song Guodong. Application effects of nitrous oxide and oxygen mixed inhalation technology on analgesia and sedation during debridement and dressing change in children with moderate or severe burns[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(3): 248-255. doi: 10.3760/cma.j.cn501225-20220308-00051
[7]	Jia Mengqian, Yuan Xingang. Current status and research advances on drug sedation and analgesia in burn children[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(2): 190-195. doi: 10.3760/cma.j.cn501120-20200908-00404
[8]	Yi Nan, Wang Bingshui, Zhang Dongmei, Liang Yanyan, Zhu Xiongxiang. Role and implementation experience of splints in pediatric burn rehabilitation[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2020, 36(8): 751-753. doi: 10.3760/cma.j.cn501120-20190610-00267
[9]	Yao Zeming, Leng Min, Wang Hong. Research advances on assisted analgesic and sedative treatment of burn children[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2020, 36(10): 979-982. doi: 10.3760/cma.j.cn501120-20190731-00327
[10]	Li Feng, Chi Yunfei, Hu Quan, Yin Huinan, Liu Wei, Chen Qi, Zhang Qinxue, Chen Xin, Cao Feichao, Liang Zhanling, Sun Yingjie. Effects of minimally invasive tangential excision in treating deep partial-thickness burn wounds on trunk and limbs in pediatric patients in the early stage post burn[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2018, 34(10): 714-718. doi: 10.3760/cma.j.issn.1009-2587.2018.10.012
[12]	Wang Yihe, Yang Hongming, Hu Quan, Hou Yusen, Luo Hongmin, Liu Lingying. Effects of sivelestat on acute lung injury in dogs with severe burn-blast combined injury Wang Yihe,[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2014, 30(2): 158-165. doi: 10.3760/cma.j.issn.1009-2587.2014.02.015
[14]	LI Yu-xiang, TANG Hong-tai, ZHOU Wan-fang, HU Xiao-yan, XIAO Shi-chu, NiU Xi-hua, LI Yan-cang, WU Yin-sheng, YAO Ming, WANG Hai-xia, XIA Zhao-fan, ZHAO Ji- jun. Analgesic and sedative effects of inhaling a mixture of nitrous oxide and oxygen on burn patient dur- ing and after dressing change[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2013, 29(6): 537-540. doi: 10.3760/cma.j.issn.1009-2587.2013.06.011
[16]	CHENG Tian-min, RAN Xin-ze. Studies on the treatment of combined radiation-burn injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2008, 24(5): 387-389.

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Get Citation

PDF

XML

Article Metrics

Article views (332) PDF downloads(43)

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

doi: 10.3760/cma.j.cn501225-20220421-00153

Abstract

References

Relative Articles

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

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

doi: 10.3760/cma.j.cn501225-20220421-00153

Abstract

References

Relative Articles

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content