关键词: Analgesia Anesthesia Anxiolysis Pediatric burn Resuscitation

Mesh : Analgesia / methods Anesthesia / methods Burns / complications therapy Child Humans Pain / drug therapy etiology

来  源:   DOI:10.1016/j.anclin.2020.05.003   PDF(Sci-hub)

Abstract:
Management of the pediatric burn patient presents a variety of clinical challenges for the pediatric anesthesiologist. Despite the high incidence of burn injuries, standard management strategies are far from universal. The complex physiologic changes presented by burn injuries present airway management and resuscitation challenges and mandate careful consideration of adequate nutritional support. Long hospital stays with frequent operations and dressing changes necessitate creative approaches to anxiolysis and pain control. Underutilized modalities warranting further research include regional anesthesia and nonpharmacologic approaches, such as virtual reality. Further research and collaboration between burn centers are needed to standardize care for this population.
摘要:
小儿烧伤患者的管理对小儿麻醉师提出了各种临床挑战。尽管烧伤的发生率很高,标准的管理策略远没有普及。烧伤带来的复杂生理变化提出了气道管理和复苏挑战,并要求认真考虑适当的营养支持。长期住院,频繁的手术和换药需要创造性的抗焦虑和疼痛控制方法。需要进一步研究的未充分利用的方式包括区域麻醉和非药理学方法,比如虚拟现实。需要进一步的研究和烧伤中心之间的合作,以规范对该人群的护理。
公众号