心脏病学家指导的镇静管理在经过静脉取患者:一个单中心的回顾性分析
Matthias Bock1,2, Matthew O'Connor3, Amir Chouchane1
1German Heart Centre Munich, Department of Electrophysiology, Technical University of Munich, 80636 Munich, Germany.
Journal of clinical medicine
|August 12, 2023
概括
通过静脉取 (TLE) 进行心脏病学家管理的深度镇静是安全有效的,仅在0.3%的病例中需要全身麻醉. 这种方法减少了资源需求,同时在TLE过程中保持了患者的安全.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 医疗程序 医疗程序
背景情况:
- 通过静脉取 (TLE) 的程序越来越多.
- 传统的TLE需要资源密集的全身麻醉.
- 对TLE进行心脏病学家主导的深度镇静的评估至关重要.
研究的目的:
- 评估心脏病专家对TLE进行深度镇静的安全性和结果.
- 为了比较心脏病学家领导的深度镇静与TLE的传统全身麻醉.
主要方法:
- 在深度镇静下进行的328次TLE手术 (2016-2019) 的回顾性分析.
- 由训练有素的心脏病学家使用米达佐拉姆,芬太尼和普罗波进行镇静.
- 收集了有关镇静,并发症和手术结果的数据.
主要成果:
- 观察到与镇静药物相关的并发症率为22.0%,主要是低血压和心肌梗塞.
- 只有0.3%的病例需要全身麻醉.
- 患有减少LVEF,功能障碍或较高ASA类的患者中,并发症更为频繁.
结论:
- 心脏病专家领导的深度镇静是一种安全有效的替代TLE全身麻醉的替代方案.
- 至少需要全身麻醉过渡 (0.3%) 强调了手术的安全性.
- 对于重大并发症,建议随时调用麻醉师和心脏外科医生.
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