目前的麻醉实践为早产婴儿接受手术死角性肠球炎:一个欧洲调查
Judith A Ten Barge1, Alexandra J M Zwiers2, Marijn J Vermeulen1
1Department of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus MC - Sophia Children's Hospital, Rotterdam, the Netherlands.
婴儿死性肠球炎 (NEC) 手术的麻醉实践在欧洲各地有很大差异. 虽然大多数麻醉科医生认为他们的护理足够,但对于这种危急的情况,需要改善监测,协议和协作.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
背景情况:
- 结核性肠球炎 (NEC) 是早产婴儿的严重肠道疾病,需要手术.
- 由于患者的早产和血液动力学不稳定性,NEC手术的麻醉管理是复杂的.
- 对于NEC患者的麻醉治疗,目前还没有确立的指导方针.
研究的目的:
- 描述目前欧洲对接受NEC手术的婴儿进行麻醉的实践.
- 确定对NEC患者麻醉护理的变化和潜在改进领域.
主要方法:
- 横截面调查研究.
- 在执行NEC手术的欧洲中心向麻醉科医生分发问卷.
- 评估了手术前,手术内和手术后护理的协议.
主要成果:
- 来自31个国家的173名麻醉师回应了;只有三分之一的人有书面协议.
- 输静脉麻醉用普罗波是常见的诱导;sevoflurane更喜欢维护.
- 大多数受访者 (60%) 认为他们的护理足够,但强调需要更好的监测,协议和协作.
结论:
- 对于婴儿NEC手术的麻醉实践在欧洲各个地方都很有变化.
- 虽然被许多人认为是充足的,但通过标准化的协议,改进的监测和跨学科的团队合作,有很大的机会来提高护理.
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