通过有效的康复室护理提高儿科术后康复——综合综述。

IF 2 4区 医学 Q2 PEDIATRICS
Lisa Korell, Frank Fideler
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引用次数: 0

摘要

背景/目的:有效的儿科患者术后康复室护理对于优化围手术期安全性、患者预后和有效的疼痛管理至关重要。然而,与手术室相比,这一领域经常被忽视,导致更高的并发症发生率,这反过来又增加了医疗成本。改善儿科康复室护理为提高围手术期儿科护理的质量和安全性提供了重要的机会。从经济角度来看,这是谨慎的;然而,更重要的是,正如联合国概述的那样,每个儿童都有权享有可达到的最高标准的健康。康复室护理的关键方面包括确保足够的人员和设备,同时也要优先考虑儿童的隐私和父母的存在,这两者对于提高患者的健康至关重要。术后疼痛管理的多模式方法对于最大限度地减少恐惧和压力至关重要,同时严格遵守术后恶心、呕吐和出现性谵妄的管理指南。此外,解决低体温和气道并发症等风险因素,以及促进早期摄入透明液体,在优化儿科康复方面发挥着至关重要的作用。组织战略,如质量改进倡议、结构化移交、带有检查清单的标准化护理方案、持续的员工培训和明确的出院标准,是减少翻译差距和提高术后儿科安全的进一步重要组成部分。结论:改善儿科术后麻醉护理是所有医疗保健提供者面临的多方面挑战,可以显著提高护理质量和安全性,同时降低成本。这方面的成功需要解决结构和医疗因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Postoperative Pediatric Recovery by Efficient Recovery Room Care-A Comprehensive Review.

Background/Objectives: Efficient postoperative recovery room care in pediatric patients is crucial for optimizing perioperative safety, patient outcome, and effective pain management. However, this area is frequently underemphasized, leading to higher complication rates compared to the operating room, which in turn increases healthcare costs. Improving pediatric recovery room care offers a significant opportunity to enhance the quality and safety of perioperative pediatric care. From an economic perspective, this is prudent; however, more importantly, every child has the right to the highest attainable standard of health, as outlined by the United Nations. Key aspects of recovery room care include ensuring adequate staffing and equipment, while also prioritizing the child's privacy and parental presence, both of which are crucial for enhancing patient well-being. A +multimodal approach to postoperative pain management is essential for minimizing fear and stress, alongside strict adherence to established guidelines for the management of postoperative nausea, vomiting, and emergence delirium. Furthermore, addressing risk factors such as hypothermia and airway complications, as well as promoting early intake of clear fluids, plays a crucial role in optimizing pediatric recovery. Organizational strategies such as quality improvement initiatives, structured handovers, standardized care protocols with checklists, continuous staff training, and well-defined discharge criteria are further essential components to reduce translational gaps and to enhance postoperative pediatric safety. Conclusions: Improving pediatric postoperative anesthetic care is a multifaceted challenge for all healthcare providers that can significantly enhance care quality and safety while also reducing costs. Success in this area requires addressing both structural and medical factors.

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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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