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首页> 外文期刊>Paediatric anaesthesia >Analgesia and sedation after pediatric cardiac surgery.
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Analgesia and sedation after pediatric cardiac surgery.

机译：小儿心脏手术后的镇痛和镇静作用。

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In recent years, the importance of appropriate intra-operative anesthesia and analgesia during cardiac surgery has become recognized as a factor in postoperative recovery. This includes the early perioperative management of the neonate undergoing radical surgery and more recently the care surrounding fast-track and ultra fast-track surgery. However, outside these areas, relatively little attention has focused on postoperative sedation and analgesia within the pediatric intensive care unit (PICU). This reflects perceived priorities of the primary disease process over the supporting structure of PICU, with a generic approach to sedation and analgesia that can result in additional morbidities and delayed recovery. Management of the marginal patient requires optimisation of not only cardiac and other attendant pathophysiology, but also every aspect of supportive care. Individualized sedation and analgesia strategies, starting in the operating theater and continuing through to hospital discharge, need to be regarded as an important aspect of perioperative care, to speed the process of recovery.
机译：近年来，心脏手术期间术中适当麻醉和镇痛的重要性已被认为是术后恢复的一个因素。这包括对接受根治性手术的新生儿进行早期围手术期管理，以及最近对快速通道和超快速通道手术的护理。但是，在这些区域以外，小儿重症监护病房（PICU）的术后镇静和镇痛作用相对较少。这反映了原发性疾病过程在PICU支持结构上的优先考虑，采用镇静和镇痛的通用方法可能导致更多的发病率和延迟的恢复。边缘患者的治疗不仅需要优化心脏和其他伴随的病理生理，而且还需要支持治疗的各个方面。从手术室开始一直持续到出院的个性化镇静和镇痛策略，应被视为围手术期护理的重要方面，以加快康复过程。

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