麻醉后强迫空气变暖是否会影响每天接受麻醉的儿科患者的突发 Delirium?
Elizabeth Henry1, Mei Lin Chen-Lim2
1Children's Hospital of Philadelphia, Philadelphia, PA; Hospital of the University of Pennsylvania, Perelman Center for Advanced Medicine, Philadelphia, PA.
麻醉后的强制空气加热显著减少了幼儿的出现妄想 (ED) 和兴奋 (EA). 这种非药物干预改善了儿科麻醉出现 Delirium 量表得分,为管理ED/EA提供了一个安全的护理策略.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 护理干预 护理干预
- 患者安全 患者安全
背景情况:
- 出现妄想 (ED) 和出现动荡 (EA) 是儿科麻醉中常见的并发症.
- 寻求非药物干预来有效和安全地管理ED/EA.
- 接受放射瘤手术的18个月至6岁的儿童容易患ED/EA.
研究的目的:
- 评估麻醉后强制空气加热在减少儿科患者ED/EA的发病率和严重性的有效性.
- 为了评估强迫气温升高对儿科麻醉突发狂妄症 (PAED) 评分的影响.
- 为了确定强制空气变暖是否是一种安全的,非药物治疗ED/EA的护理干预.
主要方法:
- 前性非随机对照试验,涉及59名18个月至6岁儿童.
- 使用PAED尺度和观察不可解动荡的ED/EA进行评估.
- 强迫空气变暖给ED/EA参与者,收集PAED分数和行为观察数据.
主要成果:
- ED/EA的发病率为28% (59名参与者中16名).
- 强制空气变暖导致PAED分数在统计学上显著下降 (P = .001).
- 在大多数参与者中,干预后激动行为和PAED得分下降.
结论:
- 麻醉后的强制空气变暖有效地影响了PAED分数和兴奋行为.
- 强制加热空气是一种安全且潜在的有效的非药物护理干预措施,用于治疗儿童的ED/EA.
- 这种干预措施可能有助于管理出现妄想/兴奋的挑战性状况.
更多相关视频
04:56In Vitro Method to Control Concentrations of Halogenated Gases in Cultured Alveolar Epithelial Cells
Published on: October 23, 2018
06:38Use of a Piglet Model for the Study of Anesthetic-induced Developmental Neurotoxicity AIDN: A Translational Neuroscience Approach
Published on: June 11, 2017
相关概念视频
Inhalational Anesthetics: Overview
Acute Respiratory Failure-IV
Stages of General Anesthesia
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Suctioning the Nasopharyngeal Airway
Equipment Required
Endotracheal Tube Extubation
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
