Postoperative Pain Management in Pediatric Patients Undergoing Cardiac Surgery: Where Are We Heading?

被引：11

作者：

Pollak, Uri ^{[1
,2
,3
,4
]}

Bronicki, Ronald A. ^{[5
,6
]}

Achuff, Barbara-Jo ^{[5
,6
]}

Checchia, Paul A. ^{[5
,6
]}

机构：

[1] Hadassah Univ, Med Ctr, Pediat Cardiac Crit Care Unit, Jerusalem, Israel

[2] Hadassah Univ, Med Ctr, Pediat Cardiol, Jerusalem, Israel

[3] Hadassah Univ, Med Ctr, Pediat Extracorporeal Support Program, Jerusalem, Israel

[4] Hebrew Univ Jerusalem, Hadassah Med Sch, Jerusalem, Israel

[5] Baylor Coll Med, Dept Pediat Crit Care Med & Cardiol, Houston, TX 77030 USA

[6] Texas Childrens Hosp, Pediat Cardiovasc Intens Care Unit, Houston, TX 77030 USA

来源：

JOURNAL OF INTENSIVE CARE MEDICINE | 2019年

关键词：

congenital heart defect; pediatric cardiac surgery; pain; analgesia; postoperative care; HEART-RATE-VARIABILITY; BRAIN-INJURY; CHILDREN; NOCICEPTION; ANALGESIA; SEDATION; MORPHINE; ANESTHESIA; MAGNESIUM; EFFICACY;

D O I：

10.1177/0885066619871432

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objectives: Adequate postoperative pain management is crucial in pediatric patients undergoing cardiac surgery because pain can lead to devastating short- and long-term consequences. This review discusses the limitations of current postoperative pain assessment and management in children after cardiac surgery, the obstacles to providing optimal treatment, and concepts to consider that may overcome these barriers. Data Source: MEDLINE and PubMed. Conclusions: Effective pain management in infants and young children undergoing cardiac surgery continues to evolve with innovative methods of both assessment and therapy using newer drugs or novel routes of administration. Artificial intelligence- and machine learning-based pain assessment and patient-tailored management in both pain measurement and prevention are already being integrated into the routine of current practice.

引用

页数：8

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