相关实验视频
Updated: Jul 16, 2025

06:24
A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
8.9K
防止在外科外科环境中转移受控物质:叙述性审查
Michael J Wong1, Yongjun Wang2, Lindsay Blake3
1Department of Anesthesia, Pain Management & Perioperative Medicine, Dalhousie University, Saint John, NB, Canada. mike.wong@dal.ca.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|September 15, 2023
概括
防止在外科外科环境中转移受控物质至关重要. 由于对最佳方法的证据有限,麻醉部门必须与药房合作,选择有效的,资源适当的策略.
科学领域:
- 麻醉学和外科手术期间的医学.
- 药理学和药物安全问题
- 医疗保健管理和政策
背景情况:
- 控制物质的转移在外科环境中构成重大风险,影响患者,工作人员和设施.
- 术后设置,包括手术室和康复室,是毒品转移的高风险区域,因为经常处理受控物质.
研究的目的:
- 审查和总结防止在外科外科环境中转移受控物质的策略.
- 概述目前在麻醉和手术环境中减轻药物转移风险的方法.
主要方法:
- 在主要数据库 (PubMed MEDLINE,Embase,Scopus,Web of Science,Cochrane) 中进行了全面的文献搜索.
- 搜索包括与转移药物,麻醉学,外科人员和受控物质相关的术语.
- 为了补充数据库的发现,还进行了手动参考搜索.
主要成果:
- 识别的预防转移策略广泛分为教育,分销控制,审计和供应商选.
- 一些现有的策略是资源密集型的,并且有有限的证据来指导最佳方法的选择.
- 人们对外科手术期间转移的意识正在增加,但最终的最佳方法仍未确定.
结论:
- 麻醉科需要与医院药房合作,以实施有效的转移预防策略.
- 策略的选择应基于当地资源和证据,并承认目前数据的局限性.
- 积极和协作选择合理的策略对于管理外科手术期间控制物质转移至关重要.
相关概念视频
Parenteral Anesthetics: Overview
154
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
154
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
General 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
Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
15
Local Anesthetics: Clinical Application as Epidural Anesthesia
457
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
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...
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...
457
Prevention of Further Absorption of Poison
851
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
851

