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在镇静状态下释放可以降低患有眼手术的儿科患者的术后出现激动:一项前性随机对照试验.

Fang Tan1, Weisha Lu2, Shuangshuang Li1

  • 1Department of Anesthesiology, Anesthetist, Eye & ENT Hospital, Fudan University, China.

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概括

从麻醉后护理单元 (PACU) 到病房释放麻醉的儿科患者显著减少了突发动荡 (EA). 这一战略还减少了对救援措施的需求,并缩短了PACU排放时间.

关键词:
出现 激动 激动 兴起儿科 儿科 儿科在麻醉后的麻醉后.眼外科手术 眼外科手术

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科学领域:

  • 麻醉学 麻醉学
  • 儿科手术 儿科手术
  • 麻醉后护理 麻醉后护理

背景情况:

  • 出现动荡 (EA) 是儿科患者麻醉后的一个常见并发症.
  • 儿童的斜视手术经常与EA有关.
  • 目前对EA的管理策略各不相同,其有效性正在调查中.

研究的目的:

  • 研究将儿科患者从麻醉后护理单元 (PACU) 送往麻醉后病房的疗效,以减少EA的发生率.
  • 为了比较从PACU出院的儿童病人的镇静和完全清醒的EA发病率.
  • 评估二次结果,包括救援措施,出院时间,血液动力学参数和家长满意度.

主要方法:

  • 一项前性随机受控研究,涉及100名儿科患者 (4-6岁) 接受眼手术.
  • 患者被随机分为两组:一种被镇静的组 (P组,n=50) 在镇静下被送往病房,另一种控制组 (C组,n=50) 完全清醒.
  • 主要结局是EA的发生率;次要结局包括救援措施,PACU排出时间,血液动力学参数和家长满意度.

主要成果:

  • 与对照组 (C组) 相比,镇静剂组 (P组) 的EA发病率明显较低 (P=0.023).
  • 在P组的患者中,需要采取救援措施的患者比C组的患者少 (P=.041).
  • 在P组 (P<.001) 中,PACU排出时间显著缩短,排出时心率较低 (P=.003). 氧和和平均动脉血压是可比的.

结论:

  • 将接受眼手术的儿科患者在镇静状态下送给他们的父母,有效地减少了出现动荡的发生率.
  • 这种方法在术后儿科患者的管理中提供了潜在的好处,包括减少对干预的需要和更快的PACU出院.
  • 镇静性排泄可能是一个有价值的策略,以改善儿科手术患者的麻醉后恢复经验.