在微创脊椎手术中监控麻醉护理 - - 一个回顾性病例系列研究研究
Hyo Jin Kim1, Seongho Park2, Yunhee Lim2
1Department of Anesthesiology and Pain Medicine, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong-si 14353, Republic of Korea.
Medicina (Kaunas, Lithuania)
|January 23, 2024
概括
使用德克斯梅托米丁的监控麻醉护理 (MAC) 是躺卧的微创脊椎手术 (MISS) 的安全选择. 建议在使用德克斯梅德托米丁时仔细监测低血压和心肌梗塞.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
背景情况:
- 在监控麻醉护理 (MAC) 下进行的微创脊柱手术 (MISS) 是对脊柱激光病的日益增长的治疗方法.
- 维持自发呼吸而不需要内内管管道是MISS在倾斜位置的关键.
研究的目的:
- 评估在MISS期间使用德克斯梅德托米丁治疗MAC的可行性和安全性.
- 评估MISS患者的生命体征,镇静深度和与德克斯梅德托米丁相关的不良事件.
主要方法:
- 在2015年9月至2016年6月期间接受MISS的17名患者的回顾性评估.
- 对生命体征,双光谱指数 (BIS) 和需要救援镇静剂的分析.
- 对不良事件的评估,包括胸肌梗塞,低血压和呼吸系统抑郁.
主要成果:
- 所有MISS手术都成功完成,无需呼吸道并发症或需要全身麻醉转换.
- 德克斯梅德托米丁维护剂量的中位数为0.40毫克克/公斤/小时;平均BIS为76.46.6.
- 低血压发生在35.3%的患者中,17.6%的患者患有心肌梗塞;四名患者接受了救援用米达佐拉姆.
结论:
- 使用德克斯梅德托米丁监控麻醉治疗是一种可行的麻醉方法,用于倾斜的位置MISS.
- 密切监测低血压和心肌梗塞是必不可少的,当施用德克斯梅德托米丁为MISS.
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