开放激素囊切除术的结合脊柱和外周麻醉:一项受控研究
Maria Galletta1, Maria De Pasquale1, Alessandro Buttitta2
1Gaetano Barresi Department of Human and Paediatric Pathology, Anaesthesiology Section University of Messina Messina Italy.
BJUI compass
|January 5, 2024
概括
局部麻醉在膀癌患者的开放基囊切除术中是可行的和安全的,与全身麻醉相比,提供更短的麻醉时间和减少术后疼痛.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
背景情况:
- 膀癌的开放激进囊切除术 (ORC) 传统上使用全身麻醉.
- 评估像局部麻醉这样的替代麻醉技术对于优化患者的治疗结果至关重要.
研究的目的:
- 评估ORC的局部区域麻醉的可行性.
- 为了比较ORC患者的局部区域和全身麻醉之间的术后结果.
主要方法:
- 一项队列研究比较了15名接受ORC和结合脊柱和外周麻醉 (研究组) 的患者,与45名接受全身麻醉 (对照组) 的患者.
- 结果包括手术期间的参数 (血液动力学,失血,麻醉时间) 和术后的康复指标 (疼痛,动员,饮食,肠道功能,停留时间,并发症).
主要成果:
- 局部麻醉是可行的,不需要转换为全身麻醉.
- 局部区域组经历了显著更短的麻醉时间 (250比290分钟) 和24小时后更低的术后疼痛得分 (0比2).
- 在血液动力学稳定性,血液流失,输血率,动员,饮食,肠道功能恢复,停留时间或90天并发症率方面没有发现显著差异.
结论:
- 纯局部麻醉是一种可行的,安全和有效的选择,用于膀癌患者接受ORC.
- 与全身麻醉相比,它提供了减少麻醉时间和改善早期术后疼痛管理的优势.
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