甲用于 ambulatory 儿科眼外科手术中的出现 Delirium
Khaled A Dajani1,2, Bren Davis3, Hussam Ghabra4
1Department of Anesthesiology, Wolfson Children's Hospital, Jacksonville, FL.
Ochsner journal
|March 21, 2024
概括
在手术期间使用的甲显著减少了小儿科患者接受眼手术的出现妄想. 这种干预降低了儿科麻醉发作妄想 (PAED) 度数,减少了对止痛药的需要,但没有影响恢复时间.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 药理学 药理学是指药理学的学科.
背景情况:
- 突发性妄想是儿童在眼手术后的一个常见的并发症.
- 可能的原因包括视觉障碍,疼痛和麻醉剂.
- 调查减轻这种不良事件的干预措施对于患者的安全和康复至关重要.
研究的目的:
- 评估单次手术内一剂甲在减少儿科患者出现痴呆症时的疗效.
- 评估甲对术后疼痛,麻醉产生的时间和麻醉后护理单位 (PACU) 停留时间的影响.
主要方法:
- 前性,受控性,前后研究设计.
- 包括小儿病患者 (<18岁,ASA I-II) 接受眼手术.
- 在研究小组的诱导过程中静脉注射甲 (0.15 mg/kg) 与对照组的标准护理相比.
- 通过小儿麻醉突发 Delirium (PAED) 尺度测量的主要结果.
主要成果:
- 甲组在PAED尺度上的高峰 (42%) 和严重 (85%) 分数显著降低.
- 接受美沙治疗的患者需要更少的救援止痛药.
- 两组之间没有观察到麻醉出现时间或PACU停留时间的显著差异.
- 没有报告任何重大术后并发症.
结论:
- 在外科手术中使用的甲有效地缓解了小儿科患者在眼手术后出现的痴呆症.
- 甲的使用并没有对PACU的吞吐量产生负面影响,也没有导致严重的并发症.
- 建议进行进一步的研究,以支持常规使用甲来预防出现妄想.
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