在乌干达Rakai的早期婴儿割礼 (EIC) 期间,局部奶油的最大麻醉效果的时间
Stephen Kiboneka1, Aggrey Anok1, Regina Nakabuye1
1Rakai Health Sciences Program Kalisizo Uganda.
BJUI compass
|June 19, 2023
概括
婴儿割礼的最佳局部麻醉是在60分钟前发生的. 使用香格里拉环装置的较短等待时间可能会提高大规模割礼的效率,在25-30分钟内实现麻醉.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 公共卫生 公共卫生
背景情况:
- 婴儿割礼是一种常见的程序,具有不同的麻醉方案.
- 在基于设备的割礼中,优先选择局部麻醉,以尽量减少疼痛并提高安全性.
- 确定局部麻醉效果的最佳时间对于高效和有效的程序至关重要.
研究的目的:
- 确定实现有效局部麻醉的最佳时间,用于基于设备的婴儿割礼.
- 评估EMLA奶油在接受割礼的婴儿中产生麻醉作用的开始和持续时间.
- 为了告知在基于大规模设备的婴儿割礼计划中等待时间的最佳实践.
主要方法:
- 一项实地研究涉及乌干达的200名0-60天的婴儿.
- 在前皮和阴茎轴上涂抹EMLA奶油,每5分钟使用新生儿婴儿疼痛量表 (NIPS) 评估麻醉效果.
- 对麻醉的开始,持续时间和最大效果相对于推的60分钟等待时间的评估.
主要成果:
- 在至少25分钟内实现局部麻醉,持续20-30分钟.
- 在至少30分钟内达到最大麻醉效果,但仅持续10分钟,在45天以上的婴儿中有效性降低.
- 麻醉效果在推的60分钟等待期之前达到顶峰,并随婴儿年龄而变化.
结论:
- 最大局部麻醉的最佳时间明显低于目前推的60分钟.
- 在局部麻醉下进行基于设备的割礼的等待时间缩短,可以提高效率,特别是在大规模手术中.
- 年龄会影响对局部麻醉的反应,这表明潜在的年龄特定调整可能是有益的.
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