相关实验视频
Updated: Jun 28, 2025

05:07
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
24.4K
超声导向的远端光喉神经阻塞用于成人桃体切除术后的疼痛缓解:一项前性随机研究
Mohamed S Abdelghany1, Gehan M Eid1, Aliaa M Belal1
1Department of Anesthesia, Surgical Intensive Care, and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Minerva anestesiologica
|April 24, 2024
概括
超声导向的光神经 (GPN) 阻断在桃体切除术后改善了疼痛缓解. 这种新的技术减少了救援止痛药的需要,并提高了患者的舒适度,没有显著的不良影响.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 区域麻醉 区域麻醉
背景情况:
- 桃体切除术往往涉及显著的术后疼痛.
- 有效的止痛药对于桃体切除术后的患者康复至关重要.
- 正在探索新的区域麻醉技术,以改善疼痛控制.
研究的目的:
- 评估一种新型超声波 (美国) 引导的远端光喉神经 (GPN) 阻塞的安全性和有效性.
- 评估这种GPN阻断对桃体切除术患者术后止痛质量的影响.
- 为了比较美国指导的远端GPN阻断与桃体切除术的标准全身麻醉.
主要方法:
- 计划进行桃体切除术的50名成年患者 (ASA I-II) 被招募.
- 患者被随机分配到接受全身麻醉,有或没有双边美国导向的远端GPN阻断.
- 测量结果包括首次要求止痛药的时间,疼痛评分,救援止痛药消耗和不良事件.
主要成果:
- 在GPN阻断组经历了显著更长的时间到第一次镇痛要求 (P=0.013).
- 术后疼痛评分 (休息和吞时) 在30分钟,2小时和6小时的GPN阻断组显着较低 (调整后P<0.05).
- 在手术后24小时内,GPN阻断组消耗的吗啡显著减少 (P=0.002),并没有出现重大并发症.
结论:
- 在喉壁的预防性超声导向的远端GPN阻断增强了桃体切除术后的疼痛缓解质量.
- 这种技术有效地减少了救援止痛药的需求.
- 美国指导的远端GPN阻断是一种安全有效的方法来控制桃体切除术后的疼痛.
相关概念视频
Tonsillitis II: Management
110
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
110
Chronic Pharyngitis
1.9K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.9K
Tonsillitis I: Introduction
241
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
241
Suctioning the Nasopharyngeal Airway
392
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
392
General Anesthesia: Overview
214
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
214
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
404
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
404

