老年人内镜镇静后患者报告的康复质量
Dana Yahav-Shafir1,2, Dina Orkin1,2, Guy Zahavi1,2
1Department of Anesthesiology, Sheba Medical Center, Tel Hashomer, Israel.
Gerontology
|February 5, 2024
概括
镇静性恢复质 (QoR) 在经过胃肠内镜检查的老年和年轻患者中是相似的. 康复质量15 (QoR-15) 评分在各年龄组之间没有显著差异,表明了可比的康复经历.
科学领域:
- 麻醉学和老年医学
- 患者安全与研究成果研究成果
背景情况:
- 镇静对于在胃肠内镜等手术期间的患者舒适性至关重要.
- 关于老年人镇静的安全性和有效性的证据是相互矛盾的.
- 了解老年人静止后的恢复对于优化护理至关重要.
研究的目的:
- 为了前性地比较老年患者的康复质量 (QoR) 与在镇静下接受胃肠内镜检查的年轻患者.
- 评估年龄是否影响内镜手术后的康复体验.
主要方法:
- 177名患者被分为三个年龄组:40-64岁,65-79岁和≥80岁.
- 治疗后一天,使用康复质量15 (QoR-15) 问卷来衡量康复质量.
- 记录了神经认知功能,程序细节和镇静参数.
主要成果:
- 在年龄组之间没有观察到QoR-15得分的显著差异 (40-64岁的139±19,65-79岁的141±17,≥80岁的147±26).
- 较年长的组 (≥65岁) 与最年轻的组相比,接受了较低的普罗波福和米达佐拉姆剂量.
- 与年轻人相比,在最年长的组 (≥80岁) 中,氧气不和的发病率较高.
结论:
- 消化肠道内镜镇静后的恢复质量在不同成年年龄组中是可比的,用QoR-15.5测量.
- 虽然镇静剂量进行了调整,并且一些安全事件 (如脱) 在最老的组中更频繁地发生,但整体恢复质量没有显著影响.
相关概念视频
01:26Endoscopic 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
01:29Endoscopic 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
01:25Endoscopic 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
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
01:26Endoscopic Studies II: Thoracocentesis
261
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
261
01:26Endoscopic Procedures V: ERCP
232
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
232