胃超声波:提高手术前风险评估和患者安全
Luke Kar Man Chan1,2,3
1Concord Repatriation General Hospital, Sydney, NSW, Australia.
Journal of perioperative practice
|December 12, 2024
概括
胃超声波 (GUS) 有助于评估延迟胃排空的患者的吸入风险. 将人工智能与GUS集成可以提高外科手术期间护理的准确性和患者安全性.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 患者安全 患者安全
背景情况:
- 外科手术期间的肺吸气带来很大的风险,特别是在高风险患者 (如糖尿病,肥胖,胃衰竭,GLP-1 RA用户) 中.
- 标准的禁食协议对于这些患者来说往往是不够的,因为胃排空延迟,使手术前风险评估复杂化.
- 胃超声 (GUS) 提供了一种非侵入性方法来评估胃的含量和体积,帮助麻醉专业人员管理吸入风险.
研究的目的:
- 评估胃超声波 (GUS) 在评估外科手术期间吸入风险方面的有用性.
- 探索人工智能 (AI) 在提高GUS准确性和在麻醉实践中采用的潜力.
- 通过改进手术前风险评估,减少与吸收相关的并发症和手术取消.
主要方法:
- 使用胃超声波 (GUS) 进行胃含量和体积的非侵入性评估.
- 探索人工智能 (AI) 的应用,以自动化GUS体积计算并提供实时反.
- 实施结构化培训计划,以提高GUS评估中的操作员准确性.
主要成果:
- GUS 能够对气道管理,手术安排和吸气风险分层进行知情决策.
- 结构化培训可以使GUS的诊断准确度高,即使对于新手操作员来说也是如此.
- 人工智能集成显示了缩短学习曲线和提高GUS评估一致性的潜力.
结论:
- 胃超声波 (GUS) 是评估外科手术期间吸入风险的宝贵工具.
- 由人工智能驱动的GUS可以克服与技术技能要求相关的采用障碍.
- 在麻醉培训中将GUS和AI结合起来,可以显著提高患者的安全性,并优化术后护理.
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