挪威麻醉监测的深度 - 一个基于网络的调查调查
Anders Aasheim1,2, Leiv Arne Rosseland1,2, Ann-Chatrin Linqvist Leonardsen3,4
1Department of Research and Development, Division of Emergencies and Critical care, Oslo University Hospital, Oslo, Norway.
Acta anaesthesiologica Scandinavica
|March 29, 2024
概括
麻醉专业人员广泛使用双光谱指数 (BIS) 监视器进行麻醉深度 (DoA) 评估. 然而,许多人并没有充分利用其潜力,这表明需要加强对基于EEG的DoA监控的培训.
科学领域:
- 麻醉学 麻醉学
- 神经科学是一个神经科学.
- 医疗技术 医疗技术 医学技术
背景情况:
- 双光谱指数 (BIS) 监视器是挪威医院中普遍存在的基于脑电图 (EEG) 的深度麻醉 (DoA) 技术.
- 关于麻醉提供者对DoA监视器的临床影响和使用的数据有限.
研究的目的:
- 调查挪威DoA监控器使用的程度.
- 了解麻醉师和护士麻醉师如何在临床实践中利用DoA监控信息.
主要方法:
- 一个横截面调查使用基于网络的问卷分发给挪威各地的麻醉人员.
- 自愿和匿名参与以确保数据完整性.
主要成果:
- 在391名受访者中,98%的受访者使用了BIS进行DoA评估;其他EEG分析很少使用.
- 58%的人认为临床观察比BIS更可靠;80%的人根据BIS调整了麻醉剂量.
- 对于高BIS值 (90%) 的麻醉剂量更频繁增加,而对于低BIS值 (55%) 的麻醉剂量更频繁减少.
结论:
- 麻醉人员广泛使用DoA监测,但并没有充分利用其麻醉定位能力.
- 建议增加利用基于EEG的DoA监测知识,以优化患者护理和麻醉管理.
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