关于外科手术前认知功能障碍的国家调查
E M Aldana1, N Pérez de Arriba2, J L Valverde1
1Anestesiología y Reanimación, Hospital Vithas Xanit Internacional, Benalmádena, Málaga, Spain.
Revista espanola de anestesiologia y reanimacion
|July 7, 2024
概括
西班牙麻醉科医生对外术性认知功能障碍 (PCD) 的认知不足. 提高认识,检测风险因素和建立协议对于更好的患者护理和结果至关重要.
科学领域:
- 麻醉学 麻醉学
- 神经科学是一个神经科学.
- 老年医学 老年医学
背景情况:
- 外科手术周围认知功能障碍 (PCD) 由于外科手术人口的老龄化,越来越令人担忧.
- 了解当前的临床实践对于解决PCD患病率至关重要.
研究的目的:
- 评估西班牙麻醉科医生关于外科手术期间认知功能障碍的临床实践.
- 确定PCD的评估和管理中的差距.
主要方法:
- 在西班牙麻醉科医生中进行了一项前性在线调查.
- 该调查由神经科学部分和SEDAR分发,产生了544个回复.
主要成果:
- 显著的大多数 (54.4%) 从来没有进行手术前认知障碍评估;只有7.5%总是这样做.
- 大多数受访者 (79.6%) 缺乏针对患有PCD风险的患者的手术内治疗方案.
- 区域麻醉在PCD预防中优先于全身麻醉,而类药物被认为是高风险的.
结论:
- 在接受调查的西班牙麻醉科医生中,外科手术期间的认知功能障碍被低估和低估.
- 需要提高认识,改进风险因素检测,以及对PCD进行标准化术后评估.
- 建议制定指南,协议和继续教育,麻醉师作为多学科团队的关键成员.
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