Optimizing pediatric periprocedural pain management part II-Adjunct therapies to support the use of infiltrative anesthetics.

Autor: Henkel ED; Division of Dermatology, Dell Medical School, University of Texas at Austin, Austin, Texas, USA., Haller CN; Division of Dermatology, Dell Medical School, University of Texas at Austin, Austin, Texas, USA., Diaz LZ; Division of Dermatology, Dell Medical School, University of Texas at Austin, Austin, Texas, USA.; Dell Children's Medical Center, Austin, Texas, USA.; Department of Pediatrics, Dell Medical School, University of Texas at Austin, Austin, Texas, USA., Ricles V; Drexel School of Medicine, Philadelphia, Pennsylvania, USA., Wong Grossman AV; Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA., Nemergut ME; Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA., Krakowski AC; Department of Dermatology, St. Luke's University Health Network, Easton, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: Pediatric dermatology [Pediatr Dermatol] 2024 Jul-Aug; Vol. 41 (4), pp. 588-598. Date of Electronic Publication: 2024 Jul 04.
DOI: 10.1111/pde.15677
Abstrakt: Pediatric procedure-related pain management is often incompletely understood, inadequately addressed, and critical in influencing a child's lifelong relationship with the larger healthcare community. We present a comprehensive review of infiltrative anesthetics, including a comparison of their mechanisms of action and relative safety and efficacy data to help guide clinical selection. We also describe the multimodal utilization of adjunct therapies-in series and in parallel-to support the optimization of pediatric periprocedural pain management, enhance the patient experience, and provide alternatives to sedation medication and general anesthesia.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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