一般护理病房的术后镇静:一个回顾性队列研究
Toby N Weingarten1, Atousa Deljou1, Kyle E Friedman2
1From the Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.
Anesthesia and analgesia
|July 22, 2024
概括
在麻醉后护理单元 (PACU) 中进行更深的镇静会增加病房镇静的风险,并导致更多的术后不良事件. 这凸显了监测麻醉后镇静水平的重要性,以改善患者的治疗结果.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 患者安全 患者安全
背景情况:
- 麻醉后护理单位 (PACU) 的镇静深度可能会影响一般护理病房的后续镇静.
- 一般护理病房的镇静与术后不良事件的增加有关.
研究的目的:
- 调查PACU中更深度镇静与随后病房镇静的风险之间的联系.
- 为了确定病房镇静是否与更多的术后不良事件有关.
主要方法:
- 从2018年5月到2020年12月接受全身麻醉的成年患者的回顾性评估.
- 在PACU出院后24小时内将患者分为病房镇静 (里士满兴奋镇静量表[RASS] ≤-2) 和没有病房镇静 (RASS ≥-1) 组.
- 多变量后勤回归分析以确定病房镇静的预测因素.
主要成果:
- 4.8%的患者 (1131/23,766) 经历了病房镇静,其中一半发生在PACU出院后32分钟内.
- 增加的PACU镇静深度与病房镇静的更高几率显著相关 (例如,RASS ≤-4的几率比率为3.97).
- 病房镇静患者的不良事件发生率更高,需要紧急干预 (8.1%对1.4%,P<.001).
结论:
- 在PACU中麻醉恢复期间进行更深的镇静是随后病房镇静的重要风险因素.
- 病房镇静与较差的患者结果有关,包括更高的不良事件需要紧急干预的可能性.
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