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首页> 外文期刊>Current opinion in anaesthesiology >Premedication of the pediatric patient - anesthesia for the uncooperative child.
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Premedication of the pediatric patient - anesthesia for the uncooperative child.

机译：小儿患者的处方药-不合作儿童的麻醉。

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PURPOSE OF REVIEW: Inadequate handling of an uncooperative child preoperatively results in postoperative behavior problems. Premedication enables a calm induction and helps to decrease postoperative problems. Several premedicants will be covered in this review. RECENT FINDINGS: Questions raised about the effects of oral midazolam use in children for premedication are now finding answers. New agents (dexmedetomidine and atypical antipsychotic agents) can be alternatives in premedication, especially in severely uncooperative children. The current literature highlights the missing information about the rather older premedicants. SUMMARY: The benefits and disadvantages of new and older drugs should be weighed against each other, and decisions should be made according to the requirements of surgery, ward conditions and the severity of psychologic, developmental or mental disease. Further studies for the evaluation of the anxiolytic, sedative and antipsychotic drugs are still required.
机译：审查目的：术前对不合作儿童的处理不当会导致术后行为问题。预先用药可以使镇定感降低，并有助于减少术后问题。本综述将涵盖几种前药。最近的发现：关于口服咪达唑仑对儿童进行前药治疗的影响的疑问现在正在寻找答案。新药（右美托咪定和非典型抗精神病药）可以作为预防用药的替代方法，尤其是在严重不合作的儿童中。当前文献突出了关于较旧的前药的缺失信息。摘要：应该权衡新药和旧药的利弊，并应根据手术的要求，病房条件以及心理，发育或精神疾病的严重程度做出决定。仍需要进一步研究以评估抗焦虑药，镇静药和抗精神病药。

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