没有全身麻醉的腹部整形手术的调查:一个范围审查
Ted Zhou1, Madeline E Hubbard1, Nasimul S Huq2
1Department of Medicine, McMaster University, Hamilton, ON, Canada.
Plastic surgery (Oakville, Ont.)
|December 20, 2024
概括
在没有全身麻醉 (GA) 的情况下进行腹膜整形似乎是安全和可行的,可能减少诸如静脉血栓栓塞 (VTE) 等并发症. 需要进一步的高质量研究来证实这些发现,并建立用于麻醉替代品的标准化协议.
科学领域:
- 整形外科 整形外科 整形外科
- 麻醉学 麻醉学
- 基于证据的医学基于证据的医学.
背景情况:
- 腹膜整形通常在全身麻醉 (GA) 下进行,这会带来气溶生成和静脉血栓栓塞 (VTE) 等风险.
- 对于腹部整形术的替代麻醉方法越来越感兴趣,以潜在地降低并发症率并改善恢复.
- 本综述综合了现有的关于没有GA进行的腹膜整形手术安全性和结果的文献.
研究的目的:
- 综合审查和总结有关在没有全身麻醉的情况下进行腹部整形手术的现有文献.
- 评估各种非GA麻醉技术在腹部整形手术过程中的安全性和结果.
主要方法:
- 在2023年10月进行了范围审查,搜索了Medline,Embase,Web of Science和CINAHL,没有日期限制.
- 麻醉类型分为有意识或静脉注射 (IV) 镇静,区域麻醉阻塞 (RAB) 和局部麻醉.
- 这项分析包括了28项涉及48,379名患者的研究.
主要成果:
- 采用了各种组合的静脉镇静,区域麻醉阻塞和局部麻醉.
- 在包括的研究中报告了30例VTE病例.
- 在两项研究中,全身麻醉转换率从4.8%到6.0%不等.
- 在评估结果的11项研究中,报告了高患者满意度和低术后疼痛.
- 大多数纳入的研究都显示出偏差的高或关键风险.
结论:
- 初步证据表明,腹部整形手术可以在没有全身麻醉的情况下安全地进行.
- 像IV镇静,区域阻塞和局部麻醉这样的替代麻醉方法似乎可以用于腹腔整形.
- 进一步进行高质量的研究是必要的,以验证这些发现,并制定标准化的非GA方法用于腹腔整形.
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