相关实验视频

Updated: Jul 16, 2026

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

Published on: June 16, 2023

致病性肥胖患者的前宫外科手术应在医院内进行

Nancy E Epstein¹, Marc A Agulnick²

¹Professor of Clinical Neurosurgery, School of Medicine, State University of NY at Stony Brook and Editor-in-Chief Surgical Neurology International NY, USA, and c/o Dr. Marc Agulnick, 1122 Franklin Avenue Suite 106, Garden City, NY, USA.

Surgical neurology international

|February 12, 2024

概括

经过前宫手术的患病性肥胖患者在门诊环境中面临更高的风险. 住院程序允许在目睹不良事件时立即干预,改善这些复杂患者的治疗结果和安全性.

科学领域:

神经外科神经外科
肥胖医学肥胖医学
患者安全患者安全

背景情况:

致病性肥胖症 (MO) 由世界卫生组织 (WHO) 定义为身体质量指数 (BMI) ≥35 kg/M2与2种并发症 (II类) 或BMI ≥40 kg/M2 (III类).
前宫手术经常用于各种脊柱疾病.

研究的目的:

审查前宫手术的病态肥胖患者的不良事件 (AE),发病率和死亡率.
为了确定是否住院护理应该是接受这些手术的MO患者的标准.

主要方法:

综合审查多项记录AE,发病率和死亡率的研究.
专注于前宫手术,主要是前宫椎切除和融合 (ACDF),在MO患者中.

主要成果:

接受前宫外科手术的MO患者有患上术前/术后AE的风险,包括外周血瘤,可能导致心肺呼吸系统停止.
住院患者设置提供24 / 7麻醉师和外科医生的可用性,以立即管理目击心肺呼吸停止.
门诊 (ASC/OSC) 增加了由于治疗延迟或不充分而导致无证人事件和较差结果的可能性.

结论:

对于MO患者的前宫外科手术,当作为住院患者进行时最安全,允许见证AE管理和更好的结果.
对MO患者的门诊前宫手术与未经目击的AEs的更高概率和死亡率的增加有关.
对于MO患者的住院前宫手术应该被认为是标准的护理.

关键词:

不良事件不良事件前宫手术前宫手术心脏呼吸系统停止的情况.禁忌门诊外科手术致病性肥胖症 (MO) 是一种疾病.发病率/死亡率发病率/死亡率患者选择患者选择手术后的外周膜外血瘤 (PEH)风险这些风险没有目击者看到.见证了他们.

更多相关视频

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

相关概念视频

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...