脏移植接受者的连续勃起器脊柱平面止痛:一个质量改进项目
Padmini Vishwanath1, Alka Deo1, Parimala Balakundi1
1Anaesthesiology, Nephrology-Urology (NU) Hospitals, Bangalore, IND.
Cureus
|June 28, 2023
概括
勃起器脊柱平面 (ESP) 块为脏移植接受者提供有效的术后疼痛管理,减少阿片类药物使用和不良影响. 与以前的方法相比,这种技术改善了疼痛控制和安全性.
科学领域:
- 麻醉学和疼痛管理
- 科和移植手术 移植手术
背景情况:
- 慢性病患者的疼痛管理是复杂的,因为疼痛缓解的选择有限,功能受损.
- 移植患者的术后止痛需要谨慎管理,以预防感染和维持移植功能.
研究的目的:
- 评估连续勃起器脊柱平面 (ESP) 导管止痛疗法的疗效,用于移植患者的术后疼痛管理.
- 与传统方法相比,评估安全概况和对阿片类药物要求的影响.
主要方法:
- 一个质量改进项目,涉及对在移植期间接受ESP导管的患者进行初步审计.
- 经过ESP导管的持续局部麻醉输液在术后得到维持.
- 疼痛评分 (数值评分表 - NRS) 和补充止痛药的使用记录在前24小时.
主要成果:
- 最初的审计 (5名患者):平均NRS在0 (休息) 到5 (动员) 之间;只需要黄醇,不需要阿片类药物.
- 再审核 (13名患者):NRS范围从0 (休息) 到6 (动员);两名患者需要通过导管进行芬太尼玻尿酸注射,另一些患者用青治疗.
- 使用ESP导管导致了最小的阿片类药物需求和较少的不良影响.
结论:
- 连续勃起器脊柱平面导管止痛是一种有效和安全的方法,用于治疗移植患者的术后疼痛.
- 这种技术已成为该中心首选的方法,取代了外周导管,因为它具有更好的安全性和减少了阿片类药物的使用.
- 持续的审计将确保对移植患者的疼痛管理策略的持续优化.
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