将全身麻醉与静止进行内镜下膜剖析的比较:从系统性审查和元分析中得出的结果
Choy-May Leung1, Rex Wan-Hin Hui2
1Department of Anaesthesiology, Queen Mary Hospital, Hong Kong.
Anaesthesiology intensive therapy
|June 12, 2023
概括
总麻醉 (GA) 可能会改善内镜下层剖析 (ESD) 的结果,与镇静相比,显示出更高的内切除率和更少的并发症. 然而,需要更多高质量的试验才能定期实施.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 麻醉学 麻醉学
背景情况:
- 内镜下粘膜剖析 (ESD) 是治疗胃肠道瘤的一个关键技术.
- 目前的做法通常涉及镇静,但正在探索全身麻醉 (GA) 的潜在益处.
结论:
- 一般麻醉似乎是安全的和可行的ESD,潜在地改善切除率和减少并发症.
- 目前的证据水平较低,在包括的研究中存在中等至高的偏差风险.
- 高质量的临床试验是必要的,然后GA可以被例行采用ESD程序.
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