巨型腹腔内瘤的麻醉管理:一个案例系列研究
Olga Grăjdieru1, Cristina Petrișor1, Constantin Bodolea1
1Department of Anaesthesia and Intensive Care, Iuliu Hatieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.
Journal of clinical medicine
|April 9, 2024
概括
对巨型腹内瘤的麻醉管理是具有挑战性的,因为证据有限. 这一案例系列突出了常见的并发症,如低血压和低血压,强调需要进一步研究以制定实践指南.
科学领域:
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
- 关键护理医学 关键护理医学
背景情况:
- 缺乏随机对照试验和针对巨型腹内瘤麻醉治疗的指南.
- 现有的文献主要由案例报告组成,阻碍了关于最佳实践的共识.
研究的目的:
- 评估当前的证据和在患有巨型腹内瘤的患者中麻醉管理的特征.
- 在案例系列中描述观察到的患者特征和麻醉方法.
主要方法:
- 使用描述性案例系列的观察性研究设计.
- 包括20名被诊断患有巨型腹内瘤的患者,接受麻醉.
主要成果:
- 大多数患者是患有卵巢相关病理或肉瘤的女性,通常需要横向位定位.
- 常见的手术前评估包括肺功能测试和成像,揭示了双边隔膜升高,没有脱膜或多溢液.
- 麻醉涉及一般麻醉与快速序列诱导在大多数情况下;低氧和低血压是频繁的并发症,需要血管压缩器支持和输血. 显著的液体排水 (15.7-107升) 发生在没有重新扩张的肺.
- 长时间的手术和麻醉时间是典型的,所有患者都需要在手术后进入重症监护室. 报告有一例患者死亡率.
结论:
- 这项研究有助于制定巨型腹内瘤麻醉管理的护理标准.
- 进一步的研究对于定义最佳麻醉策略和建立临床实践指南至关重要.
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