相关实验视频
Updated: Jul 17, 2025

11:58
A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers
Published on: August 21, 2021
5.5K
在接受重大胃肠道手术的患者中,手术内使用粉与术后脏功能障碍之间的关联:倾向性得分匹配分析
Karthik V Iyer1, Sanjeeb Giri1, Bikash R Ray1
1Department of Anaesthesiology, Pain Medicine & Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Journal of perioperative practice
|August 30, 2023
概括
在接受重大腹部手术的患者中,低分子量基乙烯粉的术内使用并没有增加功能障碍或出血问题的风险. 这一发现为这些复杂的程序的流体治疗选择提供了清晰度.
科学领域:
- 麻醉学和外科手术期间的医学.
- 腎臟病學 (nephrology) 是一種醫學.
- 关键护理医学 关键护理医学
背景情况:
- 术后基于粉的液体治疗,特别是低分子量基乙烯粉,在经过重大腹部手术后的术后功能上的安全性尚不清楚.
- 人们担心某些流体疗法可能导致功能障碍和凝血病.
研究的目的:
- 评估手术内6%基乙烯粉给药对接受重大腹部手术的患者手术后功能障碍的影响.
- 根据KDIGO标准,评估手术内合物使用与术后急性损伤 (AKI) 之间的关联.
主要方法:
- 对461名接受重大腹部开放手术的成年患者进行了回顾性分析.
- 使用倾向分数匹配来控制混变量.
- 主要结局:手术后AKI发生率在72小时内,按KDIGO阶段分类.
主要成果:
- 术后AKI的总体发病率为18%,大多数病例是I或II阶段.
- 在倾向性得分匹配的队列中,手术内合剂的使用与3日血清肌素变化没有统计学上显著的关联.
- 两组之间在ICU停留,住院时间,国际正常化比率或输血需求方面没有发现显著差异.
结论:
- 低分子量基乙烯粉的术内使用与接受重大开放腹部手术的成年患者手术后功能障碍的风险增加无关.
- 这项研究表明,这种液体疗法在这种患者群体中对功能和凝血病是安全的.
相关概念视频
Kidney Transplant II: Surgical Procedure
36
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
36
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
114
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
114
Acute Kidney Injury IV: Diagnostic Studies and Prevention
34
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
34
Endoscopic Procedures I: Esophagogastroduodenoscopy
169
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
169
Peptic Ulcer Disease V: Surgical Management and Nursing Care
335
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
335
Kidney Transplant III: Nursing Management
39
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
39

