Managing Painful Procedures in Children With Cancer

被引：39

作者：

Hockenberry, Marilyn J. ^{[1
]}

McCarthy, Kathy ^{[1
]}

Taylor, Olga ^{[1
]}

Scarberry, Meredith ^{[1
]}

Franklin, Quinn ^{[2
]}

Louis, Chrystal U. ^{[1
]}

Torres, Laura

机构：

[1] Texas Childrens Hosp, Baylor Coll Med, Texas Childrens Canc Ctr, Houston, TX 77030 USA

[2] Texas Childrens Hosp, Evidence Based Outcomes Ctr, Houston, TX 77030 USA

来源：

JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY | 2011年 / 33卷 / 02期

关键词：

procedures in children with cancer; procedure sedation; managing bone marrow aspirations with sedation; managing lumbar punctures with sedation; PATIENT DATA METAANALYSIS; BONE-MARROW ASPIRATIONS; PEDIATRIC ONCOLOGY; KETAMINE SEDATION; LUMBAR PUNCTURE; NITROUS-OXIDE; EMERGENCY-DEPARTMENT; INVASIVE PROCEDURES; CONSCIOUS SEDATION; GENERAL-ANESTHESIA;

D O I：

10.1097/MPH.0b013e3181f46a65

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Children with cancer experience repeated invasive and painful medical procedures. Pain and distress does not decrease with repeated procedures and may worsen if pain is not adequately managed. In 1990, the first recommendations on the management of pain and anxiety associated with procedures for children with cancer were published. Guiding principles described in the recommendations continue to hold true today: maximize comfort and minimize pain, use nonpharmacologic and pharmacologic interventions, prepare the child and family, consider the developmental age of the child, support family and child involvement, assure provider competency in performing procedures and sedation, and use appropriate monitoring to assure safety. This article reviews these key components for managing painful procedures in children and reviews the latest pharmacological and nonpharmacological interventions most effective in minimizing pain and discomfort.

引用

页码：119 / 127

页数：9

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