在神经轴和全身麻醉下进行的脊椎手术:研究结果比较的当前状况
Krizia Amoroso1,2, Alexander P Hughes2, Ellen M Soffin1
1Department of Anesthesiology, Critical Care & Pain Management Hospital for Special Surgery.
Current opinion in anaesthesiology
|August 8, 2023
概括
与全身麻醉相比,神经轴麻醉在脊椎手术后提供了更好的稳定性和更少的疼痛等好处. 然而,在为任何一种技术做出广泛建议之前,需要更多的研究.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 基于证据的医学基于证据的医学.
背景情况:
- 在脊椎手术中选择麻醉技术会影响患者的治疗结果.
- 神经轴麻醉与全身麻醉的结果正在争论中.
- 最近的"醒着的脊柱手术"报告需要更新的证据.
研究的目的:
- 审查目前关于脊柱手术麻醉技术的证据.
- 为了比较神经轴麻醉和全身麻醉之间的结果.
- 评估麻醉选择对患者康复的影响.
主要方法:
- 系统审查.系统审查.
- 基于人口的研究.
- 追溯的队列研究.
主要成果:
- 在重大并发症或全球恢复方面只有少数显著差异.
- 神经轴麻醉显示好处:改善血液动力学稳定性,减少恶心/吐,减轻疼痛,缩短住院时间.
- 证据质量低至中等,要求进行前性研究.
结论:
- 对麻醉的风险和益处的理解正在不断发展.
- 神经轴麻醉证明了特定的优势,但进一步的研究是必不可少的.
- 这两种技术对于接受短腰椎手术的选定患者都是可行的.
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