儿科重症监护室收治的非肥胖儿童与肥胖儿童的持续输液处方模式。

Saude Tecnologia Pub Date : 2019-12-01 Epub Date: 2019-06-21 DOI:10.1055/s-0039-1692669
Peter N Johnson, Katy Stephens, Philip Barker, Erica Bergeron, Sin Yin Lim, Tracy M Hagemann, Teresa V Lewis, Stephen Neely, Jamie L Miller
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引用次数: 0

摘要

这项回顾性研究比较了为肥胖儿童和非肥胖儿童开具的持续输液处方。95名儿童(13.2%)接受了输液治疗。与非肥胖儿童(53/552)相比,肥胖儿童(42/168)接受输液的比例更高,P = 0.975。开具处方最多的 20 种输液中,10 种(50%)用于镇静/镇痛或神经肌肉阻滞,6 种(30%)用于血液动力学支持。我们对这 20 种药物进行了文献检索,以确定肥胖儿童的药代动力学、药效学和剂量,结果发现有六项研究对芬太尼(n = 2)、咪达唑仑(n = 1)和异丙酚(n = 3)进行了评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prescribing Patterns of Continuous Infusions in Nonobese versus Obese Children Admitted to the Pediatric Intensive Care Unit.

This retrospective study compared the continuous infusions prescribed for obese and nonobese children. Ninety-five (13.2%) received an infusion. A greater percentage of obese ( n  = 42/168) versus nonobese (53/552) children received infusions, p  < 0.01. No difference was noted in the median number of infusions between the obese and nonobese groups, 2 versus 2, p  = 0.975. The top 20 prescribed infusions included ten (50%) for sedation/analgesia or neuromuscular blockade and six (30%) for hemodynamic support. A literature search was performed for these 20 agents to determine pharmacokinetics, pharmacodynamics, and dosing in obese children and revealed six studies evaluating fentanyl ( n  = 2), midazolam ( n  = 1), and propofol ( n  = 3).

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