尽管在低收入和中等收入国家(LMIC)烧伤的特殊负担和充分的镇痛在烧伤护理的重要性,缺乏在资源匮乏的环境中制定的镇痛方案.这需要开发适用于资源稀缺环境的镇痛方案。这项研究提出了一项改良的Delphi研究的结果,旨在由非洲低收入和中等收入地区烧伤管理专家小组达成共识。
进行了两轮Delphi调查,以就资源有限的儿科烧伤患者的镇痛方案达成共识。Delphi小组由九名在低收入环境中烧伤管理经验的专家组成。
共识是通过将药物包括在镇痛方案中的80%的一致性的先验阈值来确定的。关于背景镇痛方案有很大的总体共识,关于使用初始剂量的氯胺酮和咪达唑仑进行程序镇静的共识很强。
在资源有限的情况下,使用改进的德尔菲法来获得最近采用的烧伤儿童镇痛方案的专家共识。与中低收入地区烧伤管理专家合作。专家共识导致协议的严谨性和健壮性。德尔菲方法在医疗保健研究中非常有价值,此类研究的目的是寻找一致的专家意见。
Despite the exceptional burden of burns in low- and middle-income countries (LMIC) and the importance of adequate analgesia in burn care, there is a lack of analgesia protocol developed in resource-scarce settings. This necessitates the development of an analgesia protocol applicable to the resource-scarce setting. This study presents the findings of a modified Delphi study aimed at achieving
consensus by a panel of experts in the management of burn injuries from low- and middle-income settings across Africa.
A two-round Delphi survey was conducted to achieve
consensus on an analgesia protocol for paediatric burn patients for a resource-limited setting. The Delphi panel consisted of nine experts with experience in management of burn injuries in low-income settings.
Consensus was determined by an a priori threshold of 80% of agreement for a drug to be included in the analgesia protocol. There was a largely overarching agreement with regard to the background analgesia protocol and strong agreement regarding the use of an initial dose of ketamine and midazolam for procedural sedation.
A modified Delphi method was used to obtain expert
consensus for a recently adopted analgesia protocol for burn-injured children in a resource-limited setting, with experts in the management of burn injuries in low- and middle-income settings. The expert
consensus leads to the rigour and robustness of the protocol. Delphi methods are exceptionally valuable in healthcare research and the aim of such studies is to find converging expert opinions.