超声波与用于腹膜止痛的常规触摸在接受腹部中部泌尿外科手术的儿科:一项随机临床试验
Mohamed A Tolba1, Mohammed Abaalkhayl2, Ahmed A Shabaan3
1Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, University of Mansoura, Mansoura, Egypt - m_atolba1234@mans.edu.eg.
Minerva anestesiologica
|November 26, 2024
概括
超声波 (美国) 在接受腹部中部泌尿外科手术的儿科患者中显著提高了外周阻塞成功率. 与传统的触摸相比,这种成像指导也减少了定位外周周位空间的时间.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 医疗成像医学成像
背景情况:
- 超声波 (美国) 指导可以增强外周阻塞程序,特别是在儿科患者.
- 这项研究旨在在接受腹部中部泌尿外科手术的儿童中,比较手术前的美国与传统的外周阻塞的触摸.
研究的目的:
- 为了评估手术前超声波的疗效与探相比,对于儿科患者的外周阻塞.
- 评估外围注射器阻塞在第一次注射时的成功率和外围注射器空间识别的时间.
主要方法:
- 110名儿科患者 (1-12岁,ASA类I-II) 被随机分为两个组:超声波 (美国) 和触摸 (每组55人).
- 采用了一个盲目的,随机的受控试验设计.
- 主要结局是外周支柱阻塞在第一次注射时的成功率.
主要成果:
- 在第一次注射时,外周支柱阻塞的成功率在美国组 (80%) 与触摸组 (47.3%) 相比显著更高 (P < 0.001).
- 随着美国的指导, epidural空间识别时间显著缩短.
- 在这两组中都没有观察到血管或外周穿刺等程序并发症.
结论:
- 在手术前的超声指导显著地促进了小儿科患者接受腹部中部泌尿外科手术的外周阻塞.
- 超声波为儿童外周麻醉提供了比传统的触摸技术更有效和高效的替代方案.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
413
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...
413
Assessment of the Abdomen III: Palpation
318
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
318


