在患有腕plexus神经导管的患者中,囊体变异性指数和 perfusion 指数:一项观察性研究
Hale Aksu1, Elvan Ocmen, Dilek Omur
1Dept of Anesthesiology and Reanimation, School of Medicine, Dokuz Eylul University, Izmir, Turkey.
Medicine
|October 20, 2023
概括
持续的臂结阻塞可以改善前臂和手部手术的结果. 输液指数 (PI) 的增加表明成功的神经阻塞和导管的有效性,而充血图变异性指数 (PVI) 显示没有显著的相关性.
科学领域:
- 麻醉学 麻醉学
- 血管外科 血管外科
- 疼痛管理 疼痛管理
背景情况:
- 部神经阻塞是前臂和手术的标准.
- 连续的结阻塞增强了微循环,并提供了镇痛,特别是在手指手术时.
- 使用客观的生理参数来评估块的成功是至关重要的.
研究的目的:
- 为了评估输液指数 (PI) 和系统变异指数 (PVI) 在确定臂结块的成功时的有用性.
- 评估连续封锁对改善微循环和镇痛的有效性.
主要方法:
- 监测了50名接受尾臂系导管安置的整形手术患者.
- 在不同时间点使用Radical-7TM手指脉冲氧度仪测量PI和PVI:基线,导管更换期间和之后,以及手术前.
- 还收集了血液动力学数据,视觉模拟量表,拉姆齐镇静得分和患者满意度.
主要成果:
- 所有110个块都成功应用了.
- 阻塞手臂PI值在导管更换期间局部 analgesic 管理后显著增加 (P < .05).
- 同期,PVI值有所下降,但这种变化没有统计学意义.
结论:
- 经过外围阻塞后PI的增加是清醒患者成功安置阻塞的可靠指标.
- 此外,PI还可以监测术后导管功能的有效性.
- PVI似乎与神经阻塞的成功或导管的有效性无关.
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