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在接受选择性手术的成年人中进行自由化手术前禁食:范围审查协议
Haoyue Gan1,2, Hangcheng Liu1,2, Huaping Huang2
1School of Nursing, North Sichuan Medical College, Nanchong, Sichuan, China.
自由的手术前禁食,允许在手术前清洁液体,挑战了传统的指导方针. 本综述综合了关于其安全性和对接受选择性手术的成年患者的益处的证据.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 证据综合 证据综合
背景情况:
- 长时间的手术前禁食会对患者的生理和心理产生负面影响.
- 自由的手术前禁食 (手术前清洁液体) 挑战了成年人标准的2小时液体禁食指南.
- 目前关于安全饮用液体,不良影响和自由禁食的好处缺乏共识.
研究的目的:
- 绘制现有的证据,在接受选择性手术的成年人中对自由的手术前禁食进行映射.
- 为医疗保健专业人员在术后护理中总结科学证据.
- 为了为临床实践指南提供有关术前禁食协议的信息.
主要方法:
- 范围审查协议遵循阿克西和奥马利框架.
- 以PRISMA扩展为指导进行范围审查.
- 对英语研究进行全面的数据库搜索 (开始至2023年5月31日).
- 由两名调查人员进行独立的数据选和提取,与第三名调查人员进行分歧.
主要成果:
- 数据将以图形或表格格式呈现.
- 审查将确定文献中的趋势和差距.
- 综合了关于液体摄入量,不良事件和患者结局的发现.
结论:
- 这一范围审查将提供一个全面的概述自由的手术前禁食证据.
- 结果将有助于制定基于证据的建议,用于外科手术期间的流体管理.
- 这项研究旨在澄清自由的手术前禁食政策的安全性和有效性.
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