麻醉提供者对德克斯梅德托米丁的看法和使用:质量改进项目
Emily Constan1, Caroline Stovall1, Robert Matlock1
1The University of Alabama at Birmingham, Birmingham, AL.
概括
在手术期间使用阿片类药物可能会导致并发症. 这项质量改进项目增加了麻醉提供者的数量.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在手术期间服用阿片类药物与不良的术后结果有关,包括恶心,吐,呼吸抑制和持续的疼痛.
- 这些并发症增加了患者住院时间和医疗费用.
- 作为辅助药物的德克斯梅德托米丁 (Dexmedetomidine) 已被证明有潜力减少与阿片类药物相关的术后问题,但在麻醉提供者中,其使用仍然不够理想.
研究的目的:
- 增强麻醉提供者采用德克斯梅德托米丁的应用.
- 通过增加德克斯米德米丁的使用,改善脊椎和骨科手术患者的治疗结果.
主要方法:
- 一项质量改进研究,包括实施前和后的回顾性图表审查和员工调查.
- 实施涉及麻醉培训包和持续支持,包括教育材料和提供者协助.
- 通过调查确定了使用德克斯梅德托米丁的障碍,从而改善了库存.
主要成果:
- 实施前的调查显示了员工对变革的准备,并将药物可用性确定为关键障碍.
- 在培训包之后,德克斯梅德托米丁的利用率上升了67%.
- 虽然在这个项目中,直接减少与阿片类药物相关的并发症在统计学上并不显著,但提供者的兴趣和使用量大幅增加.
结论:
- 教育举措和随时可用的资源可以显著增加麻醉提供者对德克斯梅德托米丁的使用.
- 进一步的研究和实施策略应该考虑包括麻醉后护理单位护士在全面的患者护理中.
- 增加德克斯梅德托米丁的使用表明,通过减轻与阿片类药物相关的不良事件,有望改善手术患者的治疗结果.
更多相关视频
14:52Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
Published on: January 13, 2018
11.0K
08:49Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention
Published on: October 16, 2013
13.7K
相关概念视频
01:24Parenteral Anesthetics: Overview
127
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
127
01:22Stages of General Anesthesia
447
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
447
01:20Inhalational Anesthetics: Overview
294
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
294
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
432
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...
432
01:24General Anesthesia: Overview
219
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
219
01:19Sedatives and Hypnotics Drugs: Benzodiazepines
251
Benzodiazepines have both sedative and hypnotic properties. They include compounds such as diazepam (Valium) and alprazolam (Xanax). Structurally, their cores are similar, consisting of the fusion of a benzene ring and a diazepine ring, but they share a common mechanism of action in the central nervous system (CNS).
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
251