Optimizing pediatric periprocedural pain management part II-Adjunct therapies to support the use of infiltrative anesthetics

被引:2
作者
Henkel, Emily D. [1 ]
Haller, Courtney N. [1 ]
Diaz, Lucia Z. [1 ,2 ,3 ]
Ricles, Victoria [4 ]
Grossman, Ashley V. Wong [5 ]
Nemergut, Michael E. [5 ]
Krakowski, Andrew C. [6 ]
机构
[1] Univ Texas Austin, Dell Med Sch, Div Dermatol, Austin, TX USA
[2] Dell Childrens Med Ctr, Austin, TX USA
[3] Univ Texas Austin, Dell Med Sch, Dept Pediat, Austin, TX USA
[4] Drexel Sch Med, Philadelphia, PA USA
[5] Mayo Clin, Dept Anesthesiol, Rochester, MN USA
[6] St Lukes Univ Hlth Network, Dept Dermatol, 1600 St Lukes Blvd, Easton, PA 18045 USA
关键词
anesthesia; pain management; pharmacology; quality of life; surgery; RANDOMIZED CLINICAL-TRIAL; LOCAL-ANESTHESIA; DOUBLE-BLIND; INJECTED LIDOCAINE; BUFFERED LIDOCAINE; ORAL SUCROSE; REDUCE PAIN; EPINEPHRINE; SHOTBLOCKER; LIGNOCAINE;
D O I
10.1111/pde.15677
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Pediatric procedure-related pain management is often incompletely understood, inadequately addressed, and critical in influencing a child's lifelong relationship with the larger healthcare community. We present a comprehensive review of infiltrative anesthetics, including a comparison of their mechanisms of action and relative safety and efficacy data to help guide clinical selection. We also describe the multimodal utilization of adjunct therapies-in series and in parallel-to support the optimization of pediatric periprocedural pain management, enhance the patient experience, and provide alternatives to sedation medication and general anesthesia.
引用
收藏
页码:588 / 598
页数:11
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