在鼻外科手术中使用可卡因:患者对其使用的看法以及需要进行手术前同意的需要
Justin Jui Yuan Yeo1, Sharifah Sara Syed Badrol1,2, Amandeep Maan1
1Department of ENT, Russell Halls Hospital, The Dudley Group NHS Foundation Trust, Dudley, UK.
The Journal of laryngology and otology
|May 7, 2024
概括
接受鼻外科手术的患者希望对手术期间鼻内可卡因使用的意识提高. 大多数患者都希望在手术前就其使用进行讨论,即使他们不反对.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
- 患者倡导 患者倡导
背景情况:
- 鼻腔内可卡因因其血管收缩和麻醉作用而经常用于内镜外科手术.
- 关于在手术中使用鼻内可卡因的患者同意和意识仍然是需要进一步调查的领域.
研究的目的:
- 调查患者在鼻腔外科手术期间内科使用可卡因的患者观点.
- 确定患者是否应该在这种外科背景下为可卡因的应用提供知情同意.
主要方法:
- 一项前性研究在两个地区总医院的门诊耳鼻科进行了三个月.
- 对成年患者进行匿名问卷调查,以收集他们对可卡因使用和术前讨论要求的看法.
主要成果:
- 分析了123份问卷,显示只有9.8%的患者知道在鼻外科手术中使用可卡因.
- 显著多数 (73.2%) 希望在手术前就可卡因使用进行讨论,83.1% 表示担心其非法地位和潜在的社会影响.
- 不到一半的患者 (34%) 表示他们更喜欢可卡因的替代品.
结论:
- 接受鼻外科手术的患者希望了解有关鼻内可卡因在手术期间的使用情况.
- 虽然患者不一定反对使用可卡因,但他们重视可卡因应用的透明度和手术前的讨论.
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