无菌性成本:对于一次性外围神经阻塞,不应该强制使用探针盖
Philipp Gerner1, Veena Graff2, Melody Herman3
1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA pgerner1@mgh.harvard.edu.
Regional anesthesia and pain medicine
|May 22, 2024
概括
强制性的无菌探针盖用于区域麻醉,没有证据支持单次射击神经阻塞. 麻醉科医生应该根据实践和专业知识来决定探针卫生.
科学领域:
- 麻醉学 麻醉学
- 传染病控制和控制传染病
背景情况:
- 超声指导在区域麻醉中是标准的,但探针卫生协议有所不同.
- 对感染风险的担忧促使人们呼吁使用全方位无菌的超声波探针盖.
研究的目的:
- 为了评估对单次射击外围神经块的无菌探针盖的必要性.
- 挑战在区域麻醉中探针盖的常规任务.
主要方法:
- 对与外围神经阻塞相关的传染性风险现有数据的审查.
- 分析使用无菌探头盖的实际影响,包括成本和环境影响.
- 讨论区域麻醉中无菌和干净技术之间的区别.
主要成果:
- 一次性外围神经阻塞表明感染风险较低.
- 有限的证据支持无菌探针盖在预防感染的有效性,使用适当的技术是有限的.
- 一次性探头盖的常规使用带来了巨大的成本和环境负担.
结论:
- 强制使用无菌探针覆盖器对所有一次性神经阻塞的要求并非基于证据.
- 麻醉师应该有自主权根据个人实践和专业知识来确定适当的抗感染措施.
- 目前对外围神经阻塞的做法通常被认为是干净的,而不是无菌的程序.
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