由麻醉师和护士参与的手术室外的儿科镇静/麻醉专职护理程序  

A pediatric sedation/anesthesia program with dedicated care by anesthesiologists and nurses for procedures outside the operating room

作　　者：Gozal D. Drenger B. Levin P.D. Y.Gozal 王一飞 

机构地区：[1]Dept.Anesth.and Critical Care Med.Hadassah University Hospital,Jerusalem,Israel

出　　处：《世界核心医学期刊文摘（儿科学分册）》2005年第1期33-33,共1页

摘　　要：目的:根据详细而精确的原始记录检测儿科镇静小组的工作情况,以及评估父母对该操作的满意程度。研究设计:对一所大学附属医院6年多时间里由镇静小组完成的所有操作做一个描述性的观察研究,该小组人员包括受过镇静训练的儿科重症监护护士和专职麻醉师。收集的数据包括人口统计学数据、操作程序和地点、参与镇静的人员、镇静失败的情况、药物使用情况、加强镇静的要求、并发症以及父母的满意程度。Objective To examine the performance of a pediatric sedation team working according to a specific protocol and to assess parental satisfaction with the service. Study design A descriptive observational study of all procedures performed by the sedation team (comprising sedation-trained pediatric intensive care nurses and dedicated anesthesiologists) in a university hospital over 6 years. Data collected included demographics, procedure and location, sedation staff present, sedation failure, drugs used, requirements for escalation of sedation, complications, and parental satisfaction. Results Sedation was provided for 8760 procedures in 5554 children. The sedation nurse started 1769 . (20% ) procedures using triclofos sodium and required the assistance of the anesthesiologist in 115 (6. 5% ) cases. The remaining 6991(80% ) cases were performed by the anesthesiologist, predominantly using propofol (in 72. 5% of cases). No cases were deferred as a result of insufficient sedation. Adverse events were recorded in 153 (1. 7% ) children. Of these, 132 (86% ) were mild decreases in oxygen saturation. Three children were not discharged as a result of oversedation. Feedback indicated that 95% of parents were very satisfied with the sedation service. Conclusion A dedicated sedation team using a written protocol provides a service with minimal case cancellation, zero sedation failure, very good safety, and excellent parental satisfaction.

关 键 词：统计学数据 儿科重症监护 操作程序 附属医院 研究设计 一所 书面协议 信息显示 

分 类 号：R473.72[医药卫生—护理学]