在脚关节镜术中使用围护:系统性审查
B Lau1, V Kothari2, S Trowbridge1
1King's Foot and Ankle Unit, King's College NHS Foundation Trust, UK.
概括
这项研究发现,在使用大腿轮用于脚关节透视术时,手术时间或并发症率没有显著差异. 目前的证据不支持在脚关节透视手术中常规使用护带.
科学领域:
- 整形外科手术 整形外科手术
- 最少侵入性手术的方法
背景情况:
- 关节透镜经常使用大腿带,被认为可以增强可视化和缩短手术时间.
- 目前关于围在脚关节镜术中的益处的证据仍然没有确定性.
- 这项研究旨在评估在关节关节镜检查期间使用带的临床优势.
研究的目的:
- 为了评估在脚关节透视期间使用大腿带的临床益处.
- 为了确定轮在脚关节透视手术中是否有优势.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在Medline,Embase,PubMed和Cochrane图书馆的数据库中搜索到2023年1月之前的相关研究.
- 包括临床研究比较脚关节透视与没有带.
主要成果:
- 只有3项研究 (164名患者) 在180项已识别的研究中符合纳入标准.
- 没有统计学上显著的差异被观察到的平均手术时间或并发症率之间的带和非带组.
- 证据的整体质量中等到差,缺乏对常规轮使用的明确支持.
结论:
- 目前的文献表明,在脚关节透视术中,使用或不使用带的平均手术时间或并发症率没有显著变化.
- 这些发现表明,在脚关节透视术中常规应用大腿带可能不会带来实质性的临床益处.
- 需要进一步进行高质量的研究,才能确定带在这个过程中的作用.
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
436
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
436
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10


