腰椎融合手术后术后尿的危险因素:麻醉和手术方法
Jeremy C Heard1, Yunsoo Lee, Mark J Lambrechts
1From the Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA (Heard, Lee, Ezeonu, Dees, Wiafe, Wright, Toci, Canseco, Kaye, Kurd, Hilibrand, Vaccaro, Schroeder, and Kepler), the Department of Orthopaedic Surgery, Washington University, St. Louis, MO (Lambrechts), and the Department Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, PA (Schwenk).
腰部融合后的手术后尿 (POUR) 与顺胆和较少的活性有关. 苏加马德克斯可以预防POUR,手术方法之间没有差异.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 腰部融合手术后的术后尿延长了住院时间,增加了并发症的风险.
- 识别与POUR相关的因素对于改善患者的治疗结果至关重要.
- 这项研究调查了手术方法和麻醉剂对POUR发病率的影响.
研究的目的:
- 为了确定术后尿 (POUR) 和手术方法之间的关系.
- 为了评估麻醉剂,特别是苏格玛和甘酸盐,与POUR之间的关联.
- 确定腰部融合后POUR的独立预测因素和保护因素.
主要方法:
- 进行了对L4-S1单级腰部融合手术 (2018-2021) 的回顾性审查.
- 患有POUR的患者与对照者的倾向 (3:1) 相匹配,考虑到人口统计学和临床变量.
- POUR被定义为导管输出量>400mL;统计分析包括双变量和多变量后勤回归.
主要成果:
- 作为诱导剂的苏奇尼尔胆使用与增加POUR风险 (OR,4.37;P = 0.022) 有显著的关联.
- 术后活动减少是POUR的独立预测因子 (OR,0.99;P = 0.049).
- 苏加马德克斯作为逆转剂的使用显示出对POUR的保护作用 (OR,0.38;P = 0.017).
结论:
- 在腰部融合后,苏加马德克斯可以防止手术后的尿留 (POUR).
- 顺胆和术后活动的降低是发展POUR的危险因素.
- 既没有前置,也没有后置的手术方法被确定为POUR的显著预测因素.
更多相关视频
07:44Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis
Published on: March 23, 2019
04:33Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
Published on: November 8, 2024
相关概念视频
Aneurysm IV: Nursing Management
Local Anesthetics: Clinical Application as Spinal Anesthesia
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
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...
Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Urinary Tract Calculi VI: Surgical Management
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
