基于实际体重与更正的体重在改性快速序列输管治疗中的罗库原始剂量的影响
A Postaci1, N N Ozcan1, N Aydin-Guzey1
1Department of Anesthesiology and Reanimation, Ankara City Hospital, Health Application and Research Center, University of Health Sciences, Turkey.
Nigerian journal of clinical practice
|July 20, 2023
概括
使用修正体重 (CBW) 为快速序列输管 (RSI) 计算罗库剂量,提供与实际体重 (ABW) 类似的输管条件,但持续时间较短,因此适用于短时间的手术.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 临界护理医学 临界护理医学
背景情况:
- 快速序列输管 (RSI) 是一个关键的气道管理技术.
- 优化神经肌肉阻塞对于成功的RSI至关重要.
研究的目的:
- 为了比较基于校正体重 (CBW) 和实际体重 (ABW) 的罗库剂量在快速序列诱导和输管 (RSII) 期间对神经肌肉阻塞和输管质量的影响.
主要方法:
- 一项前性,随机,双盲研究,涉及50名接受RSII的女性患者.
- 患者被分为两组:第一组通过CBW计算的罗库,第二组通过ABW计算.
- 评估了神经肌肉阻塞,输管质量和血液动力学参数.
主要成果:
- 两组之间没有观察到年龄,BMI,喉腔镜质量,副作用,平均动脉压或心率的显著差异.
- 在四列车 (TOF) 计数中发现了统计学上显著的差异,表明使用CBW时的作用持续时间更短.
结论:
- 通过CBW给定罗库的剂量提供了与RSII中的ABW相似的输管条件.
- 由于CBW剂量的作用持续时间较短,这使其成为短期外科手术的潜在选择.
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