儿童尾部外周麻醉在镇静下,没有初级呼吸道仪器的性别差异
Philipp Opfermann1, Werner Schmid1, Mina Obradovic1
1Department of Anesthesia, General Intensive Care Medicine and Pain Medicine, Medical University of Vienna,Vienna, Austria.
儿科尾部外周道显示性别之间的失败率相同. 然而,男孩在这些区域麻醉手术过程中经历的技术并发症和呼吸系统事件要多得多.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 区域麻醉技术 区域麻醉技术
- 超声波引导的程序 超声波引导的程序
背景情况:
- 尾部外注是儿科手术中最常见的区域麻醉.
- 了解性别特异性结果对于优化儿科麻醉至关重要.
- 超声波引导提高了块精度和安全性.
研究的目的:
- 调查与儿童超声波导向尾部外周周道相关的结果的基于性别的差异.
- 分析因性别分层的失败率,残留疼痛,技术并发症和呼吸系统事件.
主要方法:
- 对从0-15岁儿童收集的前性数据的回顾性分析.
- 包括有计划的尾部外周麻醉在镇静下进行的手术.
- 使用统计测试评估了初级麻醉计划失败,残留疼痛,技术并发症和呼吸系统事件的性别特定率.
主要成果:
- 在女孩 (5.5%) 和男孩 (4.7%) 之间,初级麻醉计划失败率没有显著差异.
- 男孩显示与阻断相关的技术并发症的发生率显著高 (2.5%对女孩的0.8%,p=0.023).
- 男性的性别与技术并发症的几率增加有关 (aOR:3.18).
结论:
- 尾部外周麻醉失败率在儿科男孩和女孩之间是可比的.
- 男孩在尾部外周术过程中面临更高的技术并发症风险.
- 进一步的研究可能会探索男性儿科患者并发症率增加的原因.
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