超声导向区域麻醉 (UGRA) 在急诊室:一个范围审查
Syed Mohammad J Mahmood1,2, Nikhil B Bhana3, Clarence Kong4
1Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Pain management
|November 24, 2024
概括
在急诊室 (ED) 的超声导向区域麻醉 (UGRA) 越来越多地被研究,但目前的文献是不平衡的. 需要更多的大规模研究来证实UGRA技术在ED环境中的安全性和有效性.
科学领域:
- 紧急医疗 紧急医疗
- 麻醉学 麻醉学
- 医学文献分析 医学文献分析
背景情况:
- 超声导向区域麻醉 (UGRA) 越来越多地用于急诊室 (ED).
- 缺乏对ED环境中UGRA现有文献的全面审查.
- 这项研究解决了对范围审查的需求,以映射当前的证据.
研究的目的:
- 系统地评估有关在急诊室 (ED) 进行的超声波导向区域麻醉 (UGRA) 的科学文献的现状.
- 在ED背景下识别UGRA的趋势,常用技术和研究差距.
主要方法:
- 在EMBASE,MEDLINE,CINAHL和Cochrane数据库中进行了系统的搜索.
- 两位独立审查员根据PRISMA-ScR指南对研究进行了选.
- 纳入标准侧重于由ED提供者在ED中对患者进行的UGRA技术.
主要成果:
- 在1456个摘要中,包括53篇文章在内的分析.
- 大多数包括的研究是病例系列 (52.8%) 和随机对照试验 (20.8%).
- 腿部神经/腹筋阴阻塞,手臂阻塞和前臂阻塞是最常被研究的UGRA技术,大多数出版物出现在2010年以后.
结论:
- 在急诊室 (ED) 支持超声导向区域麻醉 (UGRA) 的文献正在扩大.
- 然而,目前的文献的特点是研究类型的不平衡.
- 为了确定UGRA在ED中的最终安全性和有效性,需要进行进一步的大规模人群研究.
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