脊柱麻醉用于内镜下粘膜剖析的大型直筒形状损伤:可行性研究
Giuliano Francesco Bonura1, Paolo Biancheri1,2, Joachim Rainer1
1Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Modena, Italy.
Endoscopy international open
|December 18, 2024
概括
脊髓麻醉 (SA) 是一个可行的选择,用于大损伤的结直肠内镜下粘膜解剖 (ESD). 这种方法可以减少麻醉相关的不良事件,有利于老年人和脆弱的患者.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 结肠直肠内镜下粘膜切割 (ESD) 在技术上要求很高.
- 全身麻醉和深度镇静有风险,特别是在老年和脆弱的患者身上.
研究的目的:
- 评估脊柱麻醉 (SA) 对结直肠ESD的可行性.
- 评估SA的技术成功和麻醉相关不良事件 (ARAE).
主要方法:
- 在SA.下进行大侧向扩散瘤 (LST) 的结直肠ESD患者的回顾性分析.
- 在不转换为更深度麻醉的情况下完成手术的评估和ARAEs的发生率.
主要成果:
- 脊柱麻醉用于20个大直交形LST (≥35毫米).
- 技术成功率高达95.0%,只有一次转换为深度镇静.
- 10.0%的患者经历过渡性急性尿.
结论:
- 脊髓麻醉似乎是可行的大直肠ESD的大直交状LSTs.
- 麻醉剂可能是一个有价值的麻醉选择,特别是在高风险患者群体.
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