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相关概念视频

Stages of General Anesthesia01:22

Stages of General Anesthesia

413
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
413
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

117
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
117
Sedatives and Hypnotics: Overview01:23

Sedatives and Hypnotics: Overview

335
Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
335
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

71
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
71
Psychosurgery01:30

Psychosurgery

53
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
53
General Anesthesia: Overview01:24

General Anesthesia: Overview

209
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
209

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Updated: Jun 23, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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范围审查的协议:患者控制的镇静.

Jasmin Davodi1,2, Christina V Intzilaki1,2, Casper Steenholdt2,3

  • 1Herlev Anaesthesia Critical and Emergency Care Science Unit (ACES), Department of Anaesthesiology, Copenhagen University Hospital - Herlev Hospital, Herlev, Denmark.

Acta anaesthesiologica Scandinavica
|June 26, 2024
PubMed
概括

患者控制镇静 (PCS) 允许患者管理自己的镇静水平,提高满意度,并可能加快恢复速度. 本综述探讨了它在各种程序和患者群体中的应用.

关键词:
患者控制的镇静治疗.患者驱动的镇静疗法患者管理的镇静治疗.自己给自己的镇静剂.

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科学领域:

  • 麻醉学和疼痛管理
  • 提高患者安全和质量.
  • 卫生技术评估 卫生技术评估

背景情况:

  • 当不需要全身麻醉时,有效的镇静,止痛和局部麻醉至关重要.
  • 医疗保健专业人员的传统镇静管理正在随着药理和技术的进步而发展.
  • 患者控制镇静 (PCS) 使患者能够在手术过程中自我调节镇静水平.

研究的目的:

  • 为了全面了解PCS的应用设置.
  • 确定PCS的患者资格标准.
  • 探索患者和操作员的满意度,经济因素和与PCS相关的不良影响.

主要方法:

  • 一个广泛的搜索策略"患者控制镇静"与图书馆员一起开发.
  • 在主要数据库中进行文献搜索,包括MEDLINE/PubMed,EMBASE和谷歌学者.
  • 两个独立审查员评估了研究资格,提取了关于试验和参与者特征的数据,PCS评估,风险因素和患者满意度.

主要成果:

  • 审查将确定使用PCS的特定程序和手术.
  • 它将描绘出适合PCS的患者的特征.
  • 分析将包括患者/操作员满意度,经济考虑和不良事件.

结论:

  • 本范围审查提供了PCS应用的全面概述.
  • 它旨在识别知识差距,以指导未来的研究,以优化患者镇静.
  • 这些发现将有助于确保患者尽可能获得最佳的镇静结果.