极限是零:在接受初级宫腔整形以减少麻醉剂使用的患者中对凯托洛拉克的前性评估
Alfredo Cepeda1, Madysen L Johnson1, Kavya Kelagere2
1Division of Plastic and Reconstructive Surgery, Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston and Children's Memorial Hermann Hospital, Houston, TX.
添加凯托洛拉克在术后增强恢复 (ERAS) 途径中,可显著减少住院时间和麻醉药的使用. 这种多模式的方法改善了患者的康复,而不会增加出血并发症.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
背景情况:
- 麻醉剂是宫腔整形疼痛的标准,但会引起诸如镇静等副作用.
- 手术后增强恢复 (ERAS) 途径使用多模式疼痛疗法来改善结果.
- 有限的数据存在于凯托洛拉克在 palatoplasty恢复的有效性.
研究的目的:
- 为了评估添加基托洛拉克到ERAS途径对初级宫腔整形术的影响.
- 为了比较患者接受单独ERAS与ERAS与凯托洛拉克 (ERAS+K) 之间的结果.
主要方法:
- 一个单一中心的队列研究比较了两组初级宫腔整形患者.
- 追溯的ERAS队列 (2016-2018) 与前的ERAS+K队列 (2020-2022年) 相比.
主要成果:
- 在ERAS+K组中,逗留时间 (LOS) 显著减少 (31.8小时而不是55小时).
- ERAS+K显著降低了24小时,48小时和总住院患者的阿片类药物消费.
- 较低比例的ERAS+K患者接受了处方麻醉剂 (32.1%对61.4%).
- 没有发现出血并发症,输血或重复手术的增加.
结论:
- 凯托洛拉克是palatoplasty中多式疼痛管理的有益补充剂.
- 通过减少LOS和毒品依赖,ERAS+K途径可以改善康复.
- 这种方法可以提高患者的治疗结果,而不会影响安全.
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