儿科手术后恶心和吐:发病率和遵循指南 - - 一项回顾性队列研究
Yotam Portnoy1,2, Maxim Glebov3, Dina Orkin3
1From the Arrow Program for Medical Research Education, Chaim Sheba Medical Center, Ramat Gan, Israel.
Anesthesia and analgesia
|January 8, 2025
概括
这项研究在儿科患者中发现手术后恶心和吐 (PONV) 的发病率较低,但对2020年指南的遵守率低于最佳. 需要改进实施策略,以更好地管理儿童的PONV.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 药理学 药理学是指药理学的学科.
背景情况:
- 手术后恶心和吐 (PONV) 是儿科患者的一种严重并发症.
- 在大型儿科队列中PONV的发病率和遵守2020年指南需要进一步研究.
- 这项研究评估了PONV发病率和在多样化的儿科群体中遵守指南的情况.
研究的目的:
- 确定儿科患者手术后恶心和吐 (PONV) 的发生率.
- 评估遵守第四个共识指南对PONV管理的遵守.
- 确定与PONV和指南遵守相关的外科外科因素.
主要方法:
- 对3772名接受手术的儿科患者 (≤18岁) 的回顾性观察研究.
- 对电子健康记录进行人口统计,手术和麻醉细节的分析,包括PONV预防.
- 多变量后勤回归用于识别PONV和准则遵守的预测因素.
主要成果:
- 早期PONV发生率为1.0%,延迟PONV发生率为3.8%.
- 在32.5%的病例中观察到遵循指导方针; 55.9%的患者被确定为PONV的高风险患者.
- 术内长效阿片类药物和年龄≥3年预测了准则的遵守. 不遵守与更高的24小时PONV发病率相关.
结论:
- 儿童PONV发病率似乎比以前报告的要低,这表明需要标准化定义.
- 遵守目前的PONV管理准则是不理想的,这表明需要改进实施.
- 进一步的研究应该集中在优化儿童手术患者的PONV预防策略上.
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