在向webAIRS报告的前8000个儿童区域麻醉病例中,有关儿童区域麻醉的事件
Manisha M Mistry1, Yasmin Endlich2,3,4
1Department of Paediatric Anaesthesia, Starship Children's Hospital, Auckland, New Zealand.
Anaesthesia and intensive care
|October 3, 2023
概括
儿科区域麻醉事件很少发生,但可以预防. 对26例病例的分析显示,没有死亡或永久性伤害,常见问题包括局部麻醉剂量和通信故障.
科学领域:
- 麻醉学 麻醉学
- 儿科医学 儿科医学
- 患者安全 患者安全
背景情况:
- 区域麻醉在儿科麻醉中至关重要.
- 严重的不良事件,虽然可以预防,可以发生.
- 对于儿科区域麻醉,存在有限的详细病例系列.
研究的目的:
- 分析涉及小儿区域麻醉的报告事件.
- 识别促成因素和结果.
- 为安全实践提供基于证据的建议.
主要方法:
- 从澳大利亚和新西兰的事件报告系统中检索了26起儿童区域麻醉事件 (共8000起事件中).
- 审查了外科手术期间的事件,结果,以及有助于/减轻因素.
- 进行证据审查以支持调查结果.
主要成果:
- 没有报告死亡或永久性伤害.
- 九起事件涉及局部麻醉剂的全身毒性.
- 常见的主题包括可变剂量,认知过载,准备不足和沟通问题,特别是在新生儿,婴儿和医学复杂的儿童中.
结论:
- 儿科区域麻醉中可预防的事件源于患者,系统和人为因素.
- 需要在风险分层,遵守指南,团队合作和沟通方面进行改进.
- 加强儿童区域麻醉的安全措施至关重要.
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