相关实验视频
Updated: Jun 14, 2026

05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
在Landspitali手术后恶心和吐:一项前性研究
Hilma Jakobsdottir1, Andri M Tomasson1, Sigurbergur Karason1,2
1Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Acta anaesthesiologica Scandinavica
|January 23, 2024
概括
手术后恶心和吐 (PONV) 发生率较低,使用现代麻醉实践,包括抗emetic预防和全静脉麻醉. 然而,女性性别和运动性病史等风险因素仍然可以预测PONV的发生.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
背景情况:
- 麻醉实践已经发展,增加了抗性预防和全静脉麻醉 (TIVA) 的使用.
- 评估术后恶心和吐 (PONV) 发生率和风险因素在当前麻醉环境中至关重要.
研究的目的:
- 为了前性地评估PONV的发生率.
- 检查PONV预防的利用情况.
- 确定与PONV相关的临床风险因素.
主要方法:
- 在Landspitali大学医院对438名成年患者进行前性队列研究.
- 在术后护理单位 (PACU) 和出院后24小时通过问卷收集的数据.
- 分析包括PONV的发病率,预防使用和风险因素识别.
主要成果:
- 中度/重度PONV的发病率较低 (4%在PACU中,3%在第一天).
- 高率的TIVA (91%) 和PONV预防 (82%).
- 确定了风险因素:女性性别 (OR 1.90) 和运动性疾病/PONV史 (OR 2.74);年龄的增加是保护性的 (OR 0.83/十年).
结论:
- 在外科患者群体中,PONV的发病率很低,TIVA和预防治疗普遍存在.
- 肺炎病毒仍然是一个可预测的并发症,这表明有改善预防策略的潜力.
- 风险分层仍然很重要,尽管广泛的预防和TIVA.
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
203
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
203
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
163
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
163
Peptic Ulcer Disease V: Surgical Management and Nursing Care
305
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
305
Endoscopic Procedures I: Esophagogastroduodenoscopy
118
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
118
Endoscopic Procedures II: Colonoscopy
99
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
99
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88

