胸椎脊髓麻醉与内镇静用于腰部手术:一个回顾性队列研究
Nikolay Boykov1, Dilyan Ferdinandov2,3, Petra Vasileva2,3
1Department of Anesthesiology and Intensive Care, St. Ivan Rilski University Hospital, Sofia, Bulgaria.
Frontiers in medicine
|April 26, 2024
概括
胸部脊柱麻醉为脊柱手术提供安全有效的无阿片类药物选择,显示出高患者满意度. 这种方法提供了优秀的外科条件和疼痛管理,没有静脉注射阿片类药物.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
背景情况:
- 脊柱麻醉 (SA) 是脊柱手术中全身麻醉 (GA) 的一个可行的替代方案.
- 有限的数据存在于胸部SA短时间的程序.
- 调查胸部SA作为GA的无阿片类药物替代品是合理的.
研究的目的:
- 评估胸部SA在脊椎手术中的安全性和可行性.
- 评估患者对胸部SA的满意度.
- 探索胸部SA作为一种无阿片类药物疼痛管理策略.
主要方法:
- 对24名接受下胸部和腰部脊柱手术的患者进行了回顾性分析.
- 从医疗记录和患者问卷中收集的数据.
- 胸部SA与使用布皮瓦卡因和辅助剂 (midazolam,克洛尼丁/德克斯梅德托米丁,德克萨梅他) 的内镇静.
主要成果:
- 为各种脊柱病理 (椎间盘,狭窄,骨折) 进行了24次手术.
- 没有静脉注射阿片类药物,NSAIDs或额外的手术内镇静剂.
- 报告没有重大并发症;经手术后疼痛应要求进行管理.
结论:
- 胸部SA与辅助剂提供高效的手术条件和有利的安全性.
- 这种技术确保了高患者满意度和有效的无阿片类药物疼痛管理.
- 胸部SA是特定的脊柱手术的可行和安全的替代方案.
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