无需任何静脉注射的吸入麻醉用于儿科质子束疗法
Miguel A García-Aroca1, José M Fernández-de Miguel1, María Aymerich-de Franceschi1
1Department of Anesthesia and Intensive Care, Clínica Universidad de Navarra, Madrid, Spain.
Paediatric anaesthesia
|August 1, 2023
概括
儿科质子疗法通常需要麻醉. 这项研究发现,对于接受这种癌症治疗的儿童来说,仅使用sevoflurane的吸入麻醉是一种有效和安全的选择.
科学领域:
- 在瘤学瘤学.
- 麻醉学 麻醉学
- 儿科 儿科 儿科
背景情况:
- 质子束疗法是儿童固体瘤的关键治疗方法,由于治疗持续时间和不移动性要求,往往需要麻醉.
- 关于用于质子疗法的儿科麻醉的研究有限,目前的数据表明人们更喜欢静脉注射或联合麻醉技术.
- 这项研究的重点是分析接受质子疗法的儿科患者的吸入麻醉管理.
研究的目的:
- 描述和分析用于儿科质子疗法的吸入麻醉的使用.
- 将吸入麻醉的结果与已发表文献中的现有麻醉方案进行比较.
- 为了评估基于sevoflurane的吸入麻醉方案的安全性和有效性.
主要方法:
- 进行了Web of Science和Scopus的系统文献审查,以确定有关儿科质子疗法麻醉的研究.
- 对31名在2020年6月至2021年8月期间在麻醉下接受质子疗法的儿科患者进行了回顾性分析.
- 收集的数据包括患者的特征,诊断,治疗,呼吸道管理,麻醉药物,诱导和恢复时间以及不良反应,所有这些都是在严格的吸入麻醉协议下使用sevoflurane和喉膜口罩呼吸道.
主要成果:
- 文献搜索确定了11篇关于儿科质子疗法麻醉的论文,主要使用静脉注射或联合技术.
- 在这个中心,31名儿童接受了873次质子疗法,仅使用吸入麻醉 (sevoflurane).
- 平均麻醉诱导时间为4.1分钟,平均恢复时间为13.8分钟,不严重 (0.7%) 和严重 (0.1%) 的不良反应率较低,与其他方法相比较.
结论:
- 独家吸入麻醉与sevoflurane是一种有效和安全的麻醉技术用于儿科质子疗法.
- 在这项研究中观察到的并发症率与其他麻醉方法报告的相似.
- 这种方法为接受质子疗法的儿科患者的麻醉管理提供了可行的替代方案.
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