在一组接受全身麻醉的患者中,术后无计划再输管的危险因素
Iwan Sofjan1, Sima Vazquez2, Jose Dominguez3
1Anesthesiology, Westchester Medical Center, Valhalla, USA.
Cureus
|June 13, 2023
概括
高剂量的阿片类药物增加了在全身麻醉 (GA) 后无计划的手术后再灌输 (UPR) 的风险. 识别高风险患者和优化护理可以减少UPR并发症.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 无计划的手术后再灌输 (UPR) 是全身麻醉 (GA) 后的一个严重并发症.
- UPR与患者不良结果和增加医疗负担有关.
研究的目的:
- 在接受GA的患者中确定与UPR相关的患者和程序特征.
- 为减少UPR的发生率制定策略提供信息.
主要方法:
- 对18岁以上接受GA治疗的患者电子病历的回顾性分析.
- 评估与UPR相关的基线,程序和麻醉变量.
- 统计分析控制操作时间和案件复杂度.
主要成果:
- 观察到UPR的发病率较低 (0.1%,29/29,284).
- 高剂量的阿片类药物 (超过第75个百分位) 独立地与UPR相关.
- 手术时间,EBL,BMI,输出管时间和年龄与UPR没有独立相关.
结论:
- 高剂量的手术内阿片类药物使用是UPR的关键预测因素.
- 针对高风险患者的有针对性的干预措施和提供者教育对于缓解UPR至关重要.
- 优化术后护理可以减少与UPR相关的发病率和死亡率.
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