在外周血管干预期间,可以改善患者遵守的情况
C Y Maximilian Png1, Laura T Boitano2, Sunita D Srivastava1
1Massachusetts General Hospital, Boston MA.
JVS-vascular insights
|March 20, 2024
概括
在静止下进行血管干预时,患者的合作至关重要. 合作不良会增加辐射,对比度和镇静剂的使用,有时需要全身麻醉或堕胎.
科学领域:
- 血管外科 血管外科
- 麻醉学 麻醉学
- 患者安全 患者安全
背景情况:
- 程序性镇静和止痛 (PSA) 需要患者的合作,在外周血管干预 (PVI) 期间保持呼吸等任务.
- 在PSA过程中提高患者的认识,需要合作才能取得成功的程序结果.
研究的目的:
- 评估患者在PSA下PVI期间遵守桌面上的说明.
- 确定患者合作与PVI周围手术结果之间的关系.
主要方法:
- 一项在线调查向全国383名血管外科医生分发.
- 该调查收集了根据PSA进行的PVI期间患者合作的数据.
- 通过使用描述性统计数据,分析了83名外科医生的反应.
主要成果:
- 患者合作不足导致PVI病例的显著比例增加了对比度 (59.0%),辐射 (62.7%) 和手术时间 (54.9%).
- 由于合作不良,在46.3%的病例中需要额外的镇静剂/止痛药.
- 转换为全身麻醉或堕胎发生在每月4.8%至42.2%的病例中,这取决于违规的严重程度.
结论:
- 在PSA下PVI期间患者合作不足经常导致资源利用率增加和程序并发症.
- 需要改善患者合作的策略,以尽量减少不良患者安全事件.
- 建议进行进一步的研究,以确定在PVI期间增强患者合作和安全的方法.
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