sponsor & contact us

A. 高雄醫學大學附設醫院麻醉部
T. 07-3121101 #7033、7035
F. 07-3217874
E. 2020annualmeetingtsa@gmail.com
勞萱之 Hsuan-Chih Lao
勞萱之Hsuan-Chih Lao
個人簡介

現職
Attending Anesthesiologist
Pain Physician
Clinical Lecture, National Yang-Ming University
 

 

個人經歷
Attending Anesthesiologist; MMH
Research Fellow; Department of Pain and Palliative, Sydney Children’s Hospital, Sydney, Australia
Attending Physician; Intervantional Pain center, MMH
 

兒童介入治療的麻醉

 

兒童疼痛是一個常見的問題,更是一個被嚴重低估的問題。疾病對於很多重病的兒童而言,能被「治癒」其實是件困難的事;在疾病中身體心理很多的不舒服,其中,疼痛是絕對可以也應該得到完善的處理,而且在疼痛減輕之後對於身心的輕省有著莫大的幫助。

關於兒童疼痛,一直有一些觀念上的迷思。過去不分國內外甚至醫界,皆對兒童疼痛抱持一定程度迷思或誤會,認為「嬰幼兒神經系統未發育成熟,對於疼痛感知較低並且無法確實評估」或「可以被轉移注意力就表示沒有疼痛」等等。而更常見的狀況是更多人認為孩童使用鴉片類的止痛藥是危險又容易成癮,以至於許多孩童的疼痛甚至是開刀後的疼痛都沒有足夠的處理。兒童疼痛處理在設立統一的疼痛評估後,接下來進一步針對醫療中常見到的疼痛訂出作業標準。

在兒童醫院各單位中都會碰到兒童需要接受不同的侵入性處置,選擇適當的止痛及鎮靜方式是對兒童、照顧者及操作人員甚至檢查處置結果都至為重要。非藥物的方式對於侵入性較小的處置(如抽血)有相當不錯的效果。當考慮使用疼痛藥物時,需要更多考量兒童身體因素、操作人員、場地及配備等,事前的計畫和完善的準備至為重要。

良好的兒童疼痛照護應該是包含多專業的團隊整合照護。相關人員在一定的教育下和建立共識後,處理兒童疼痛就能兼顧安全、有效、甚至健康促進的理想。
 


Anesthesia for Pediatric Invasive Interventions

 

Children in Pain, who cares?

Numerous evidences of unrecognized pain in children and ignorance even negligence pain possibly due to inadequate assessment or distress underestimation in children, and even improper or insufficient pain management setting is not unusual. Illness in children may not be easy to cure, but pain, it should and can be well-managed to relive totally.

Procedural pain is the most common source of both fear and pain for ill children, so many procedures comprise an increasing volume of pediatric anesthesia practice. Considerations for these pediatric patients are different form adults due to age and maturity. Also, different procedure needs individualized preparation due to various duration, patient's positions, original local equipment, technique of the operator and etc..  In this talk, we will share our experience of many pediatric procedures in Mackay Children's Hospital, including our assessment, preparation, and  collaboration.
Mostly, Children in pain, We do care!