在有意识镇静下进行支气管镜检查和监测麻醉治疗期间比较患者的舒适度:一项前性,观察性,受控研究
Syed Murtaza Hassan Kazmi1, Mahnoor Nawaz Abbasi2, Yusra Mudassir3
1Pulmonology, Shifa International Hospital Islamabad, Islamabad, PAK.
Cureus
|July 15, 2024
概括
意识镇静 (CS) 与灵活支气管镜监测麻醉护理 (MAC) 一样有效,提供与较少强度镇静和较低成本相比的患者舒适和安全.
科学领域:
- 肺部病理学 肺部病理学
- 麻醉学 麻醉学
背景情况:
- 灵活支气管镜 (FB) 镇静选择各不相同,关于最佳方法的证据相互矛盾.
- 以前的胃镜研究为FB镇静提供了有限的指导.
研究的目的:
- 为了比较患者在灵活支气管镜术期间的舒适度,使用有意识镇静 (CS) 与监控麻醉护理 (MAC) 相比.
主要方法:
- 一项前性观察性研究,对83名接受支气管镜检查的患者进行了观察.
- 患者接受了CS (芬太尼,纳尔布芬,米达佐拉姆) 或MAC (普罗波福,米达佐拉姆,胺).
- 通过直接询问和MOAA/S表格,评估了舒适度,镇静水平,恢复,安全性和患者因素的影响.
主要成果:
- 对于CS (3.6±0.89) 和MAC (3.3±0.54) 报告了类似的患者舒适度.
- 与CS (3.8±0.98) 相比,MAC导致了更深的镇静 (4.37±0.66).
- 两组镇静剂的恢复时间和并发症率在两组镇静剂之间是可比的.
结论:
- 有意识的镇静与灵活支气管透视的监控麻醉护理无差.
- CS提供了同等的舒适性和安全性,但降低了镇静强度和成本.
- CS是支气管镜检查的可行,经济有效的替代方案,而不会影响患者的治疗结果.
相关概念视频
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
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...
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
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...
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
Inhalational Anesthetics: Overview
260
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
260
Endoscopic Studies II: Thoracocentesis
238
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
238
Skeletal Muscle Relaxants: Therapeutic Uses
479
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
479


