单侧脊髓麻醉的优化方法:双盲,随机临床研究
Yernar Dauletovich Mamyrov1, Daulet Urazovich Mamyrov1, Gulzhanat Ertaevna Jakova2
1Department of Emergency Medicine, Pavlodar Branch of NCJSC Semey Medical University, Pavlodar, Kazakhstan.
Anesthesiology and pain medicine
|October 30, 2023
概括
与电神经刺激 (USpA+ENS) 结合的单侧脊髓麻醉可减少刺并发症,并改善麻醉质量,相比于标准的USpA. 这种技术提高了患者和麻醉师的坚持.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 手术创新 在外科创新.
背景情况:
- 单侧脊髓麻醉 (USpA) 经常会带来技术上的挑战,包括多次尝试和并发症.
- 持续的刺穿并发症可能导致麻醉不足和患者的不适.
研究的目的:
- 为了比较传统USpA与USpA与电神经刺激 (USpA+ENS) 的疗效和安全性.
主要方法:
- 134名接受下肢血管手术的患者被随机分为两组.
- 一组接受标准USpA,而另一组接受USpA+ENS与7.5毫克布皮瓦-Spinal®.
- 主要结局包括腹腔穿刺后头痛 (PDPH),穿刺尝试,侧面化和麻醉的充分性.
主要成果:
- 与标准USpA组相比,USpA+ENS组的穿孔并发症频率明显较低.
- 麻醉的充分性,疼痛得分和次要结果显示了两组之间可比的结果,但略有差异.
结论:
- USpA+ENS有效地降低了与单边脊髓麻醉相关的穿刺并发症的发生率.
- 电神经刺激的整合提高了麻醉的质量,并改善了患者和临床医生对USpA技术的遵守.
相关概念视频
Local Anesthetics: Clinical Application as Spinal Anesthesia
646
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
646
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
Local Anesthetics: Clinical Application as Epidural Anesthesia
439
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
439
Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K


