新生儿长期机械通气的镇痛和镇静作用

E. V. Shestak, O. Kovtun
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引用次数: 0

摘要

介绍了重症监护病房新生儿在机械通气期间使用镇痛镇静药物的相关数据。提供了最常见的镇静和镇痛药(阿片类药物、对乙酰氨基酚、氯胺酮、咪达唑仑、右美托咪定、异丙酚)的研究概况。分析了它们的疗效和短期和长期不良反应的风险,包括与儿童神经系统发育有关的不良反应。正在讨论使用药物作为单一疗法和与其他药物联合用于镇痛和镇静。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analgesia and Sedation in Newborns with Long-Term Mechanical Ventilation
Relevant data on drugs used for analgesia and sedation in newborns in the intensive care units during mechanical ventilation is presented. The overview of studies on the most common sedatives and analgesics (opioids, acetaminophen, ketamine, midazolam, dexmedetomidine, propofol) is provided. Analysis of their efficacy and risk of short-term and long-term adverse effects is presented, including those associated with the child’s nervous system development. The use of drugs both as monotherapy and in combination with other medications for analgesia and sedation is being discussed.
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