与意外周围麻醉和低温相关的因素
Ryan J Keneally1, Eric R Heinz1, Edward M Jaffe1
1Department of Anesthesiology and Critical Care Medicine, George Washington University, Washington, DC, USA.
概括
全静脉麻醉 (TIVA) 与一般麻醉期间低温的风险更高有关. 这种风险在产科,胸部和放射性手术中特别高.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 临床结果研究研究
背景情况:
- 低温是麻醉期间的潜在并发症.
- 静脉内全麻醉 (TIVA) 是一种全麻醉方法.
- 在TIVA和低温之间的关联需要进一步调查.
研究的目的:
- 为了研究全静脉麻醉 (TIVA) 和周围麻醉低温之间的关联.
- 为了确定在全身麻醉期间与低温相关的患者和程序因素.
主要方法:
- 从国家麻醉临床结果注册表对2019年接受全身麻醉的患者的数据分析.
- 包括患者人口统计,美国麻醉师协会身体状况分类系统 (ASAPS) 评分,麻醉时间,TIVA使用,手术类型和低温.
- 使用学生的t测试,曼·惠特尼等级和混合效应多重逻辑回归的统计分析.
主要成果:
- 观察到低温症的发病率很低 (1.2%).
- 患有低温症的患者年龄较大,ASAPS分数较高,并且更有可能接受TIVA.
- 即使在对共变量进行控制后,TIVA也与降温的可能性增加有显著的关联. 产科,胸部和放射性手术也增加了低温的风险.
结论:
- 静脉内全麻醉 (TIVA) 与周围麻醉低温的风险增加有关.
- 特定的程序 (产科,胸部,放射) 与较高的低温率和概率有关.
- 识别风险因素有助于分层患者,并可能减轻低温症.
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