麻醉在SARS-CoV-2感染儿童 - 单中心经验. 一个病例控制研究研究
Tomasz Jarymowicz1, Artur Baranowski1,2, Justyna Pietrzyk1
1Department of Pediatric Anesthesiology and Intensive Care, Pediatric Teaching Hospital, University Clinical Center Warsaw Medical University, Warsaw, Poland.
Anaesthesiology intensive therapy
|September 20, 2023
概括
一般麻醉对患有SARS-CoV-2感染的儿童来说是安全的,并发症率低. 虽然发生了一些脱和更长的住院时间,但整体风险与未感染的儿童相似.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 虽然SARS-CoV-2 (COVID-19) 在儿童中通常呈现温和,但麻醉后果仍然令人担忧.
- 有限的数据表明,SARS-CoV-2感染患者的麻醉并发症风险增加.
研究的目的:
- 评估在接受紧急手术的SARS-CoV-2感染的儿科患者中全身麻醉的安全性.
- 为了比较SARS-CoV-2感染和未感染儿童之间的麻醉并发症率.
主要方法:
- 对 SARS-CoV-2 感染 (n=58) 和阴性 (n=198) 儿童进行回顾性病例控制研究,这些儿童在紧急手术时需要麻醉.
- 收集的数据主要 (呼吸道并发症,脱,通风) 和次要 (住院,血栓/心脏事件,ICU入院,死亡) 终点.
- 多变量逻辑回归分析确定了并发症的风险因素.
主要成果:
- 整体并发症率较低,在SARS-CoV-2感染者和对照组之间没有显著差异.
- 感染SARS-CoV-2的儿童在醒来和更长时间住院期间经历了更高的脱度.
- 患者的身体状况和手术持续时间是影响并发症风险的关键因素.
结论:
- 一般麻醉可以安全地给患有SARS-CoV-2感染的儿科患者.
- 虽然存在微小的差异,但这项研究支持这种人群中麻醉管理的安全性.
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