在分娩期间患者控制的外周止痛:范围审查的协议
Magnus Grønbæk Henriksen1,2, Nikoline Svensson1,2, Ann Merete Møller1,2
1Department of Anaesthesiology, Herlev and Gentofte Hospital, Herlev, Denmark.
Acta anaesthesiologica Scandinavica
|October 30, 2024
概括
患者控制的外周止痛疗法 (PCEA) 使分娩妇女能够自我控制疼痛缓解. 这次审查将PCEA的证据映射到地图上.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 分娩对许多女性来说是一个非常痛苦的经历.
- 患者控制的外周止痛疗法 (PCEA) 为分娩妇女提供了对疼痛管理的自我控制.
- PCEA可以通过减少疼痛开始和止痛药的使用之间的时间来改善整体分娩体验.
研究的目的:
- 进行范围审查,调查分娩期间患者控制的外周止痛疗法 (PCEA).
- 绘制与PCEA相关的母亲满意度,不良影响和产科干预措施的现有证据.
- 为了识别有关PCEA在劳动当前的证据库的知识差距.
主要方法:
- 遵守系统性审查的首选报告项目和扩展范围审查的元分析 (PRISMA-ScR) 和JBI方法.
- 系统地搜索主要的同行评审数据库和灰色文献.
- 包括所有研究类型,涉及接受PCEA的分娩妇女;对试验特征,干预措施和结果进行图表化数据.
主要成果:
- 结果将使用表格,图形和图表进行描述.
- 数据分析将发现与审查的目标保持一致.
结论:
- PCEA增强了母亲在分娩期间的自主权.
- 检查PCEA的影响和风险对于改善孕产妇护理至关重要.
- 这一审查将通过识别知识差距提供见解,以增强母亲护理和分娩经验.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
414
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
414
Local Anesthetics: Clinical Application as Spinal Anesthesia
585
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
585


