The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period
The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period
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DOI：
10.1111/pan.13639
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发表时间：
2019-06-01
影响因子：
1.7
通讯作者：
Wilder, Robert
中科院分区：
文献类型：
--
作者：
Cravero, Joseph P.;Agarwal, Rita;Wilder, Robert
阿片类药物长期以来在成人和儿童围手术期疼痛的管理中发挥着重要作用。在过去的50年里，关于这些药物在儿科患者中的适当和不适当使用的已发表报告出现在各种出版物中。对于本文件，儿科麻醉学会任命了一个工作组来评价现有文献，并就儿童围手术期阿片类药物给药的最突出方面提出建议。这些建议根据现有证据的强度进行分级，在没有证据的情况下，专家的共识适用于这些问题。这些建议的目的是解决有关手术后儿童阿片类药物给药的最重要问题，包括适当的疼痛评估、阿片类药物治疗患者的监测、阿片类药物给药考虑、阿片类药物治疗的副作用、阿片类药物给药策略和镇痛疗效评估。计划定期更新，每两年重新发布一次指南。
Opioids have long held a prominent role in the management of perioperative pain in adults and children. Published reports concerning the appropriate, and inappropriate, use of these medications in pediatric patients have appeared in various publications over the last 50 years. For this document, the Society for Pediatric Anesthesia appointed a taskforce to evaluate the available literature and formulate recommendations with respect to the most salient aspects of perioperative opioid administration in children. The recommendations are graded based on the strength of the available evidence, with consensus of the experts applied for those issues where evidence is not available. The goal of the recommendations was to address the most important issues concerning opioid administration to children after surgery, including appropriate assessment of pain, monitoring of patients on opioid therapy, opioid dosing considerations, side effects of opioid treatment, strategies for opioid delivery, and assessment of analgesic efficacy. Regular updates are planned with a re-release of guidelines every 2 years.