手术前的阴茎块与大腿骨轴和远端大腿骨骨折中的阿片类药物消耗减少有关
Nicholas Kolodychuk1, Michael Dubé2,3, Nicholas DiNicola3
1Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY.
Journal of orthopaedic trauma
|March 20, 2024
概括
在急诊室的阴茎块显著降低了对于股骨轴和远部股骨骨折的阿片类药物消耗. 这种干预措施没有影响住院时间或再入院率.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 紧急医疗 紧急医疗
背景情况:
- 股骨轴和远端股骨骨折是常见的伤害,通常需要显著的阿片类药物止痛.
- 在急诊室 (ED) 进行有效的疼痛管理对于患者的治疗结果至关重要.
- 阴带 (FI) 块是区域麻醉技术,可以提供止痛.
研究的目的:
- 为了评估在ED中执行的Fascia Iliaca (FI) 块对阿片类药物消费的影响.
- 评估FI阻塞对长度停留 (LOS) 和30天再入院率的影响,在患有大腿骨或远骨骨折的患者中.
主要方法:
- 在一级创伤中心进行的前性队列研究.
- 包括2020年1月至2022年5月隔离低能耗股骨轴或远端股骨骨折 (OTA/AO 32和33) 的患者.
- 在接受FI阻塞和未接受FI阻塞的患者之间,比较了阿片类药物消耗,LOS,出院处置和再录取率.
主要成果:
- 包括136名患者;24人接受FI阻断.
- 在FI块组显示显著降低了手术前 (36.1对55.3MMEs) 和手术后 (71.7对130.6MMEs) 的阿片类药物消费.
- 两组之间的LOS (4.9 vs. 5.0天) 或30天再入院率 (12.5% vs. 4.5%) 没有显著差异.
结论:
- 经ED执行的Fascia Iliaca (FI) 阻塞与患有大腿轴或远部大腿骨骨折的患者的阿片类药物需求降低有关.
- 在该患者群体中,FI区块对住院时间或再入院率没有显著影响.
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