吸入氧化治疗术后严重的肺部并发症在近期COVID-19感染的患者中 (INORDINATE):随机对照试验的协议
Ziyu Zheng1,2, Lini Wang1,2, Shuxiu Wang1
1Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
BMJ open
|March 14, 2024
概括
最近的SARS-CoV-2感染增加了手术患者肺部并发症的风险. 这项研究调查了外科手术期间的氧化 (NO) 吸入是否可以减少近期COVID-19患者手术后肺部并发症 (PPC).
科学领域:
- 医学研究 医学研究
- 肺部病理学 肺部病理学
- 麻醉学 麻醉学
背景情况:
- 感染SARS-CoV-2的病史与手术后肺部并发症 (PPCs) 的更高风险有关.
- PPCs可能导致死亡率增加,ICU入院和长时间住院.
- 对于最近感染了SARS-CoV-2的外科手术患者,需要有效的术后策略.
研究的目的:
- 调查外科手术期间吸入氧化 (NO) 降低PPC的功效.
- 为了减轻与手术患者最近感染SARS-CoV-2相关的风险增加.
- 探索NO的潜在益处,包括血管扩张,抗凝固和抗炎作用.
主要方法:
- 一个前性,双盲,随机对照试验.
- 包括接受全身麻醉手术和最近感染SARS-CoV-2 (7周内) 的患者.
- 根据PPC风险指数和感染后的时间进行分层分配 (1:1);主要结局:手术后7天内PPC.
主要成果:
- 本节不适用,因为这项研究是前性的,结果尚未公布.
结论:
- 这项研究假设,外科手术期间的氧化 (NO) 可以有效地减少近期感染SARS-CoV-2的患者的PPC.
- 需要进一步的研究来证实这些发现,并将NO作为标准治疗方法.
- 计划公布研究结果,无论结果如何.
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