在小儿外科手术患者中出现动荡的程度,其干预及其相关因素
Habtamu Tilahun Aniley1,2, Samrawit Tassew Mekuria3, Mebratu Abraha Kebede4
1Department of Anesthesia, MeQrez General Hospital, Addis Ababa, Ethiopia. habtishtile@gmail.com.
BMC anesthesiology
|July 13, 2024
概括
出现动荡影响近一半的儿科手术患者,往往延迟恢复. 普罗波使用和清醒到达康复减少了激动,而ENT/口腔手术增加了风险.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 术后护理 术后护理
背景情况:
- 出现动荡是一般麻醉后儿童的常见术后并发症.
- 它可以延长恢复时间,并导致痛苦.
- 了解其患病率和促成因素对于儿科外科护理至关重要.
研究的目的:
- 为了确定儿科手术患者出现动荡的程度.
- 确定用于管理新兴动荡的干预措施.
- 调查与这一群体出现动荡相关的因素.
主要方法:
- 进行了一项基于医院的横截面研究,并进行了前性随访.
- 150名接受全身麻醉的儿科手术患者 (2-14岁) 被招募.
- 用描述性和推断性统计数据收集和分析了有关出现动荡,干预和相关因素的数据.
主要成果:
- 42.7%的儿科手术患者经历了出现动荡,平均持续时间为8.39分钟.
- 与增加风险相关的因素包括耳鼻喉 (ENT) 手术和口腔大面部手术.
- 在手术结束时给予普罗波福尔和醒着抵达康复室,与出现激动症的风险降低有关.
结论:
- 突发动作是儿科手术患者的一个重要问题,影响了近一半的研究对象.
- 特定的手术类型 (ENT,口腔面) 是危险因素,而某些麻醉实践 (propofol,清醒到来) 是保护性的.
- 麻醉人员需要提高技能,以进行有效的外科手术管理,包括尽量减少和治疗出现动荡.
相关概念视频
Autism Spectrum Disorder
79
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
79
Suctioning the Oropharyngeal Airway
197
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
197
SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K
Suctioning the Nasopharyngeal Airway
352
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
352
Assessment of Airway, Skin Color, and Use of Accessory Muscles
986
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
986
Pneumonia V: Nursing management and Prevention
2.0K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.0K


