2021 年西班牙儿科急性疼痛的管理:儿科麻醉师全国调查结果。

F. Reinoso-Barbero , R. López-López , M.D. Cárceles Barón , M. Hervías-Sánz , J. García-Fernández , Pediatric Anesthesia Section of Pediatric Anesthesia Working Group of SEDAR
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引用次数: 0

摘要

目的增进对西班牙儿科急性疼痛治疗常规临床实践的了解:通过互联网对西班牙参与儿科急性疼痛治疗的医护人员(特别是麻醉师)进行了一项远程调查。调查包括 28 个问题,涉及他们在评估和治疗急性疼痛方面的日常临床实践,以及儿科急性疼痛的培训和组织方面:150 名麻醉学专家于 2021 年 3 月完成了调查。受访者在处理儿科急性疼痛方面经验丰富(平均年限:14.3 年:标度:7.8),主要集中在急性术后疼痛方面(97% 的病例)。虽然 80% 的受访者常规使用经过验证的儿科急性疼痛评估量表,但只有 2.6% 的受访者使用了针对认知障碍患者的特定量表。大多数受访者常规使用扑热息痛(99%)或甲氰咪唑(92%)等镇痛药物,但只有 84% 的受访者在使用这些药物的同时辅以局部区域阻断技术或其他非甾体抗炎药物(62%)。此外,只有 62.7% 的人承认接受过儿科急性疼痛方面的专门培训,只有 45% 的人遵循医院的制度规程,只有 28% 的人通过儿科疼痛科这样做:调查发现了西班牙儿科急性疼痛治疗的培训和组织方面需要改进的地方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The management of paediatric acute pain in Spain in 2021: Results of a national survey among paediatric anaesthesiologists

Objective

To improve knowledge about routine clinical practice in the management of paediatric acute pain in Spain.

Methods

A telematic survey was conducted via the Internet on a representative sample of healthcare professionals involved in the management of paediatric acute pain (specifically anaesthesiologists) in Spain. The survey included 28 questions about their usual clinical practice in the assessment and treatment of acute pain, and also training and organisational aspects in paediatric acute pain.

Results

The survey was completed during March 2021 by 150 specialists in anaesthesiology. The respondents widely experienced in the management of acute paediatric pain (mean years of experience: 14.3: SD: 7.8), essentially in acute postoperative pain (97% of cases). Although 80% routinely used validated paediatric acute pain assessment scales, only 2.6% used specific scales adapted for patients with cognitive impairment. Most of the respondents routinely used analgesic drugs such as paracetamol (99%) or metamizole (92%), but only 84% complemented these drugs with a loco-regional blocking technique or other non-steroidal anti-inflammatory drugs (62%). Furthermore, only 62.7% acknowledged having received specific training in paediatric acute pain, only 45% followed hospital institutional protocols, and a scant 28% did so through paediatric pain units.

Conclusions

The survey identified important points for improvement in the training and organisation of acute pain management in Spanish paediatric patients.

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