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相关概念视频

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Kidney Transplant II: Surgical Procedure01:26

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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...
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Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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没有阿片类药物的皮肤穿神经解剖术:初步经验.

Raymond Khargi1, Alan J Yaghoubian2, Ryan M Blake2

  • 1Department of Urology, Icahn School of Medicine, New York, NY, USA. raymond.khargi2@mountsinai.org.

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概括

这项研究发现,基托洛拉克是一种非阿片类药物,在皮肤透神经切除术 (PCNL) 后的疼痛控制中与氧化-乙氨基一样有效. 这种非阿片类药物的方法可以减少与阿片类药物处方相关的风险.

关键词:
患有结石疾病的患者.无抗炎药 (NSAIDs) 是一种无抗炎药.在阿片类药物中,阿片类药物这是PCNL的PCNL.疼痛控制 控制疼痛的方法

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 疼痛管理 疼痛管理
  • 公共卫生 公共卫生

背景情况:

  • 阿片类药物流行是一个主要的美国公共卫生危机.
  • 皮肤穿神经切除术 (PCNL) 传统上需要阿片类药物治疗疼痛.
  • 医生过度处方阿片类药物有助于疫情.

研究的目的:

  • 评估PCNL患者非阿片类药物疼痛治疗方案的可行性.
  • 评估在没有阿片类药物的情况下出院的PCNL患者的术后结果.
  • 在PCNL后的疼痛管理中减少阿片类药物消费.

主要方法:

  • 对接受基托洛拉克 (NSAID) 和氧化-乙氨基 (NARC) 的PCNL患者进行了回顾性比较.
  • 分析了人口,手术和术后因素.
  • 主要结局:无计划的与疼痛相关的医疗保健接触. 二次结果:非疼痛经历,再入院,救援药物,并发症.

主要成果:

  • 在NSAID和NARC组之间,无计划的与疼痛相关的遭遇没有显著差异 (11.4%对14.3%).
  • 在NARC组中,有更多的无计划电话 (60%对34.3%).
  • 之前的石头手术是PCNL后疼痛相关遭遇的唯一独立预测因素.

结论:

  • 凯托洛拉克是一种可行的非阿片类药物替代品,用于PCNL后的疼痛管理.
  • 非阿片类药物途径可以减轻阿片类药物风险,而不会影响止痛作用.
  • 需要进一步的前性研究来确认可行性.