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Updated: Jul 22, 2026

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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
预定静脉注射凯托洛拉克是安全的,并且在机器人辅助简单前列腺切除术后减少了麻醉剂的使用
Vishnuvardhan Ganesan1,2, Ryan L Steinberg3,4, Hersh Trivedi3
1Department of Urology, University of Texas Southwestern, Dallas, TX, USA. vxg116@case.edu.
Journal of robotic surgery
|October 3, 2024
概括
预定的静脉注射凯托洛拉克在机器人辅助简单前列腺切除术 (RASP) 患者的术后阿片类药物使用量显著降低. 这种疼痛管理策略也使近三分之一的患者能够在住院期间完全避免使用麻醉剂.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 机器人辅助简单前列腺切除术 (RASP) 是一种常见的手术.
- 有效的术后疼痛管理对于患者的康复至关重要.
- 手术后使用阿片类药物可能会导致副作用和依赖.
研究的目的:
- 评估计划静脉注射凯托洛拉克对手术后麻醉剂利用的影响.
- 评估与RASP患者使用Ketorolac相关的术后结果和并发症.
主要方法:
- 对207名接受RASP治疗的患者进行了回顾性图表审查.
- 收集的数据包括患者人口统计,术前细节和术后的吗啡等效使用 (MEU).
- 患者根据他们是否接受预定凯托洛拉克 (在手术后5天内) 分成组.
主要成果:
- 接受定期开托洛拉克治疗的患者的中位数MEU显著降低 (5对15,p<0.001).
- 在接受基托洛拉克治疗的患者中,更高的比例不需要麻醉剂 (30%对11%,p=0.005).
- 凯托洛拉克的使用独立地与降低麻醉剂的使用有关,而输血率没有显著差异.
结论:
- 预定的静脉注射凯托洛拉克有效地减少了RASP后的医院内阿片类药物的使用.
- 这种镇痛方法似乎不会增加外科手术期间的发病率.
- 相当大比例的RASP患者可以通过预定开托洛拉克 (ketorolac) 实现无阿片类药物的术后疼痛管理.
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