在全膝关节整形术中,早期与晚期的术后附加管道阻塞相比
Sarah Momin1, Shahbaz Saad1, Emily H Garmon2
1Texas A&M School of Medicine, Bryan, Texas, USA.
概括
在膝关节手术后在手术室进行添加管道阻塞并没有减少阿片类药物消耗. 然而,它确实显著缩短了患者在麻醉后护理单位的康复时间.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
背景情况:
- 附带管道阻塞 (ACB) 用于膝盖手术后的疼痛管理.
- 服用ACB的时间 (手术室与麻醉后护理单位 (PACU)) 可能会影响疼痛控制和恢复.
研究的目的:
- 为了确定在手术室 (OR) 中执行ACB是否会减少在PACU恢复期间的阿片类药物消耗,而不是在PACU中执行.
- 评估OR与PACU ACB对PACU停留时间的影响.
主要方法:
- 对接受机器人辅助单边全膝关节关节整形手术的患者进行了回顾性队列研究.
- 患者在OR (n=36) 或PACU (n=178) 中接受了术后ACB.
- 口服吗啡毫克相当量 (MME) 的消费量和PACU停留时间在各组之间进行了比较.
主要成果:
- 在OR ACB组 (22.5毫克) 和PACU ACB组 (30.0毫克) 之间,没有发现MME中位数消耗的显著差异.
- 在手术室接受ACB的患者与在PACU (186分钟) 接受ACB的患者相比,在PACU的停留时间 (101分钟) 显著较短.
结论:
- 在手术室内进行添加管道阻塞并不能减少PACU恢复期间的阿片类药物消耗.
- 在OR中给药ACB与接受全膝关节整形手术的患者的PACU停留时间缩短有关.
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