Analgesia after congenital heart surgery
10.3760/cma.j.issn.1673-4912.2017.06.014
- VernacularTitle:先天性心脏病术后的镇痛治疗研究进展
- Author:
Dan WEI
;
Hui ZHANG
;
Xiaoxu REN
- Keywords:
Congenital heart disease;
Pain;
Stress response
- From:
Chinese Pediatric Emergency Medicine
2017;24(6):459-463
- CountryChina
- Language:Chinese
-
Abstract:
Pain is a subjective and emotional experience associated with tissue injury.Surgery can cause pain.The pain will cause sympathetic excitement,stress response,impact on circulation,respiration and neuroendocrine system,and increase heart rate,blood pressure and oxygen consumption.Pain is detrimental to cough and that can lead to atelectasis and hypoxemia because of airway secretions aggregation.Those are very unfavorable for children with congenital heart disease complicated with postoperative low cardiac output syndrome.In addition,there are greater stress response after congenital heart disease due to the operation and the cardiopulmonary bypass,so more attention should be payed to the postoperative pain.