在干预性疼痛手术之前,常规静脉注射是否常见? 脊柱干预社会实践模式调查结果
Margaret Beckwith1, Zachary L McCormick1, Andrew Joyce2
1Department of Physical Medicine and Rehabilitation, University of Utah School of Medicine, Salt Lake City, UT, USA.
Interventional pain medicine
|September 6, 2024
概括
干预性疼痛提供者在手术前对常规静脉注射 (IV) 接入的做法有所不同. 大多数人并不经常使用静脉注射器,尽管椎手术和特定阻塞是例外.
科学领域:
- 疼痛医学 医学 疼痛医学
- 干预性疼痛管理 干预性疼痛管理
- 麻醉学 麻醉学
背景情况:
- 在非镇静性干预性疼痛手术前建立常规的静脉注射 (IV) 接入是有争议的做法.
- 在干预性疼痛提供者之间,有关常规IV接入的做法有很大差异.
研究的目的:
- 为了确定常见的干预性疼痛手术常规IV接入的频率.
- 了解干预性疼痛提供者关于IV接入的当前实践模式.
主要方法:
- 一项匿名调查被分发给脊柱干预协会 (SIS) 的成员.
- 该调查收集了有关IV接入的提供者人口统计和当前实践模式的数据.
- 141名SIS成员在2020年8月至10月期间完成了调查.
主要成果:
- 观察到IV接入使用的双模分布 (时间的0%或81-100%).
- 常规的IV接入对于椎脊柱手术,椎/腹下阻塞,腰部交感阻塞和脊髓刺激器试验更为频繁.
- 除了镇静,只有脊髓刺激器试验,脊柱/腹腔复合体阻塞和腹腔复合体阻塞在常规的IV接入中更频繁地进行.
结论:
- 在干预性疼痛提供者之间,常规的IV接入实践存在显著差异.
- 大多数提供者在大多数干预性疼痛手术中并不经常建立IV接入.
- 虽然很少见,但需要使用静脉注射的并发症可能会在职业生涯中发生.
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