大麻使用对内镜手术镇静要求的影响:一项复制研究
Llewellyn Dawn Smith1,2,3, Wendy Pelton1,2,3, Merri K Morgan1,2,3
1Llewellyn Dawn Smith, MSN, RN-BC, CNEcl, is Clinical Nurse IV, Sentara Obici Hospital, Suffolk, Virginia.
概括
大麻使用没有显著影响患者在内镜手术后的恢复时间. 然而,使用大麻的患者需要更多的propofol进行镇静,这突出了有关大麻消费的程序前讨论的必要性.
科学领域:
- 医学科学 医学科学 医学科学
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 弗吉尼亚州大麻合法化影响了医疗保健,特别是程序性镇静.
- 了解大麻对镇静的作用对于患者的安全和有效治疗至关重要.
研究的目的:
- 为了调查自我报告的大麻消费和内镜手术期间的镇静药物需求之间的关系.
- 为了确定大麻使用是否会影响内镜后的恢复时间.
主要方法:
- 一个大西洋中部社区医院的手术患者的回顾性分析.
- 两个群体的比较:自我报告的大麻使用者和非使用者.
- 恢复指标的评估:恢复时间≥8和满足II阶段标准的时间.
主要成果:
- 在大麻使用者和非使用者之间的康复时间没有发现显著差异 (p = .486和p = .762).
- 吸食大麻的患者需要更高剂量的普罗波来镇静.
- 相当的恢复时间表明,尽管需要更多的药物治疗,但可以达到相似的镇静水平.
结论:
- 大麻消费似乎不会显著改变手术镇静后的恢复时间.
- 大麻使用者增加的普罗波福尔需求需要在镇静计划期间仔细考虑.
- 在手术前对大麻使用的公开沟通对于量身定制患者护理和管理药物剂量至关重要.
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