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在全身麻醉下使用输液指数对coorthopedic患者的脑关节上阻塞评估:一个前性队列研究

Shagun Bhatia Shah¹, Jiten Jaipuria², Mamta Dubey¹

¹Department of Anaesthesia and Critical Care, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.

Saudi journal of anaesthesia

|June 1, 2023

概括

在麻醉患者中监测超关节臂阻塞 (SCBPB) 疗效是具有挑战性的. 输液指数 (PI) 和PI比率提供了一种简单的,非侵入性的方法来评估SCBPB在手术期间的发病和有效性.

科学领域:

麻醉学麻醉学
疼痛管理疼痛管理
瘤外科手术瘤外科手术

背景情况:

超关节臂阻塞 (SCBPB) 对于骨科瘤外科手术中术后疼痛缓解至关重要.
在手术和麻醉逆转之间的窗口中给予SCBPB提供了诸如减少血液损失和阿片类药物副作用等优势.
在全身麻醉下评估SCBPB疗效仍然是一个重大的临床挑战.

研究的目的:

评估输液指数 (PI) 和PI比率对监测全身麻醉患者SCBPB发病的有用性.
建立一种非侵入性方法来评估SCBPB在骨科瘤外科手术中的有效性.

主要方法:

一项前性观察队列研究,涉及30名接受上肢整形瘤手术的患者.
同时评估双边上肢输液指数 (PI) 使用脉冲同氧计.
计算PI比率和与受阻肢体皮肤温度的相关性.

主要成果:

被阻塞的肢体中的PI在SCBPB管理后显著增加,而未被阻塞的肢体没有显著增加.
被阻塞的肢体中的PI比率呈现出渐进的增加,表明成功的阻塞发作.
在PI和受阻肢体皮肤温度之间观察到强烈的相关性 (r=0.79).

结论:

在被阻塞的肢体中监测PI和PI比率是一种定量,非侵入性和有效的技术,用于评估麻醉患者的SCBPB发作.
这种方法提供了一种简单而廉价的方法来监测阻塞疗效,有助于在瘤手术期间的疼痛管理.

关键词:

麻醉麻醉是一种麻醉.臂状交叉阻塞臂状交叉阻塞癌症癌症癌症癌症癌症整形外科的整形外科手术.透指数是指 perfusion perfusion perfusion 指数是指透指数是指透指数是指透指数

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