目前清醒内镜手术的现状:系统性审查和元分析
Caroline N Jadczak1, Nisheka N Vanjani1, Hanna Pawlowski1
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
World neurosurgery
|September 15, 2023
概括
局部麻醉是内镜脊柱手术的安全有效替代品,可以改善疼痛和残疾分数. 醒着的脊柱手术减少了严重的并发症,增加了患者的满意度,尽管需要更多的研究.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 越来越多地进行内镜脊柱手术.
- 在这些程序中,局部麻醉与全身麻醉的作用需要检查.
研究的目的:
- 在过去的十年里,系统地审查局部麻醉和/或意识镇静在内镜脊柱手术中的使用和结果.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在Embase,PubMed,Google Scholar和Cochrane数据库中搜索了2011年后的研究.
- 包括18岁以上患者的皮肤内镜脊柱手术,不包括小病例系列和未经同行评审的文章.
主要成果:
- 包括26篇文章,2113名患者中有1873人接受局部麻醉.
- 观察到疼痛和残疾分数的显著改善.
- 96%的患者报告说术后满意度很好或很好;清醒手术显示严重并发症减少和住院时间缩短.
结论:
- 局部麻醉是一种安全有效的替代品,用于内镜脊柱手术的全身麻醉.
- 醒着的脊柱手术与严重并发症的减少,更低的修订率和更高的患者满意度有关.
- 需要对更大患者队伍进行进一步的强有力的研究,以充分阐明醒着脊柱手术的影响.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
112
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...
112
Endoscopic Procedures III: Video Capsule Endoscopy
186
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
186
Endoscopic Procedures I: Esophagogastroduodenoscopy
157
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:
157


