影响急性前部循环中风机械血栓切除过程中出现转换为全身麻醉的需要的因素 - 一个回顾性观察性研究
Vinay Byrappa1, Nitin Manohara1, Seby John2
1Anesthesiology Institute, Cleveland Clinic Abu Dhabi, UAE.
概括
在中风的内血管机械血栓切除过程中,从有意识的镇静转换为全身麻醉的紧急转换是由心房动和更长的手术时间预测的. 这些因素增加了需要全身麻醉的可能性.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 心脏病学 心脏病学
背景情况:
- 内血管机械血栓切除术 (EMT) 是急性缺血性中风的关键治疗方法.
- 程序可以在有意识的镇静 (CS) 或全身麻醉 (GA) 下进行.
- 在EMT期间从CS转换为GA的紧急转换是令人担忧的,但其预测因素和结果尚不清楚.
研究的目的:
- 为了确定在EMT期间从CS转换为GA的紧急转换的预测因素.
- 分析这种转换对临床结果的影响.
主要方法:
- 对226名因前部循环中风接受EMT的患者的回顾性分析.
- 在CS下完成EMT的患者和需要紧急转换为GA的患者之间的比较.
- 统计分析以确定转换的独立预测因素.
主要成果:
- 19.9%的患者 (45/226) 需要紧急转换为GA.
- 前庭动 (OR 2.38) 和延长的手术持续时间 (OR 1.02) 是转换的独立预测因素.
- 合并吸收-支架检索器或血管塑造/支架技术与更高的转化率有关.
结论:
- 心房动和延长的手术时间增加了在EMT期间需要紧急GA的风险.
- 特定的内血管技术也可能与更高的转化概率有关.
- 了解这些预测因素可以帮助优化中风干预期间的患者管理.
关键词:
急性缺血性中风急性缺血性中风血管整形手术是一项手术.愿望的愿望 愿望的愿望心房动是一种心房动.紧急转换到GA的情况.内血管机械血栓切除术 (endovascular mechanical thrombectomy) 是一种内血管机械血栓切除术.整体麻醉是一种全身麻醉.镇静 镇静 镇静 镇静支架取回方式 支架取回方式更多相关视频
08:07Rose Bengal Photothrombosis by Confocal Optical Imaging In Vivo: A Model of Single Vessel Stroke
Published on: June 23, 2015
15.2K
08:41Lateral Chronic Cranial Window Preparation Enables In Vivo Observation Following Distal Middle Cerebral Artery Occlusion in Mice
Published on: December 29, 2016
11.7K
相关概念视频
01:29Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
01:24General Anesthesia: Overview
240
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
240