PDF(Pubmed)
Abstract：
BACKGROUND: Nerve block catheters (NBCs) are increasingly used for pain management in pediatric trauma patients. While short-term efficacy has been well established, the long-term safety of NBCs is unknown. Methods/Cases: The retrospective chart review includes a cohort of nine pediatric trauma patients aged 3-15 years who received 52 peripheral nerve block catheters and epidurals for pain management. This study aimed to investigate the potential risks associated with the prolonged use of NBCs in pediatric trauma cases.
RESULTS: The NBCs (48 peripheral catheters and 4 epidural catheters) were maintained for about 2 weeks. The number of catheters per patient varied from 1 to 11. The study noted a low frequency of catheter-related complications. No catheter-site infection or local anesthetic toxicity symptoms were reported.
CONCLUSIONS: These findings suggest that NBCs can be safely maintained for extended periods in pediatric trauma patients without significantly increasing complications. Careful monitoring and adherence to infection control practices remain paramount when implementing extended catheter use.
RESULTS: The NBCs (48 peripheral catheters and 4 epidural catheters) were maintained for about 2 weeks. The number of catheters per patient varied from 1 to 11. The study noted a low frequency of catheter-related complications. No catheter-site infection or local anesthetic toxicity symptoms were reported.
CONCLUSIONS: These findings suggest that NBCs can be safely maintained for extended periods in pediatric trauma patients without significantly increasing complications. Careful monitoring and adherence to infection control practices remain paramount when implementing extended catheter use.
摘要：
背景：神经阻滞导管（NBCs）越来越多地用于儿科创伤患者的疼痛管理。虽然短期疗效已经确立，NBCs的长期安全性未知。方法/病例：回顾性图表回顾包括9名3-15岁儿童创伤患者的队列，他们接受了52个周围神经阻滞导管和硬膜外腔进行疼痛管理。这项研究旨在调查儿科创伤病例中长期使用NBCs的潜在风险。
结果：将NBCs（48根外周导管和4根硬膜外导管）维持约2周。每个患者的导管数量从1到11不等。该研究注意到导管相关并发症的频率较低。未报告导管部位感染或局部麻醉毒性症状。
结论：这些研究结果表明，在儿童创伤患者中，NBCs可以长期安全维持，而不会明显增加并发症。实施延长导管使用时，仔细监测和遵守感染控制措施仍然至关重要。
结果：将NBCs（48根外周导管和4根硬膜外导管）维持约2周。每个患者的导管数量从1到11不等。该研究注意到导管相关并发症的频率较低。未报告导管部位感染或局部麻醉毒性症状。
结论：这些研究结果表明，在儿童创伤患者中，NBCs可以长期安全维持，而不会明显增加并发症。实施延长导管使用时，仔细监测和遵守感染控制措施仍然至关重要。
