在内血管腹腔大动脉动脉瘤修复期间的催眠
Lucie Derycke1,2, Quentin De Roux2,3,4, Nicolas Mongardon2,3,4
1Service de Chirurgie Vasculaire, DMU CARE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, F-94010 Créteil, France.
Journal of clinical medicine
|February 24, 2024
概括
催眠与局部麻醉相结合用于内血管腹腔动脉瘤修复 (EVAR) 是可行的和安全的. 与全身麻醉相比,这种方法减少了诺阿基因的使用,手术时间和住院时间.
科学领域:
- 血管外科 血管外科
- 麻醉学 麻醉学
- 医学催眠 医学催眠
背景情况:
- 血管内动脉瘤修复 (EVAR) 与开放修复相比,可降低早期发病率和死亡率.
- 全身麻醉 (GA) 存在风险;催眠可能提供更安全的替代方案.
- 在EVAR中评估催眠的可行性和安全性至关重要.
研究的目的:
- 评估在EVAR期间使用催眠和局部麻醉的可行性和安全性.
- 为了比较催眠下EVAR与GA的结果.
主要方法:
- 在28名患者进行催眠和局部麻醉的EVAR或窗格/分支EVAR (f/bEVAR) 的回顾性研究 (2017-2019).
- 匹配对照组的患者接受了类似的手术在GA.
- 结合ICU停留,并发症,重新干预,死亡率,北上腺素使用,手术持续时间和停留时间的比较.
主要成果:
- 两组之间在ICU停留,内脏泄漏,再干预或30天死亡率方面没有显著差异.
- 催眠组显著降低了北上腺素的使用 (p < 0.001).
- 在催眠组中观察到更短的手术持续时间 (p = 0.04) 和住院时间 (p = 0.002).
结论:
- 在EVAR期间的催眠是一种可行的,安全的GA替代方案.
- 这种技术与减少手术内对北上腺素的需求有关.
- 催眠可能导致更短的程序时间和住院时间在EVAR患者.
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