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我们需要液体玻尿酸吗? 儿童用普罗波镇静剂的必要改进 - - 一个质量改进项目
Andrew L Guymon1, Madigan M Moore1, Laura E Nelson1
1University of South Dakota Sanford School of Medicine.
概括
在MRI的儿科普罗波镇静期间减少或消除盐酸玻尿酸是安全有效的. 这种方法保持了血液动力学稳定性和成功完成镇静,优化了患者的护理.
科学领域:
- 麻醉学 麻醉学
- 儿科镇静剂 儿科镇静剂
- 提高质量 提高质量
背景情况:
- 普罗波经常用于儿科MRI镇静,以防止运动.
- 强化治疗师传统上会给出20毫升/千克的盐酸玻尿酸,以维持血压 (BP) 在普罗波镇静期间.
- 这项研究评估了减少 (10毫升/公斤) 和消除的盐酸玻尿酸协议.
研究的目的:
- 与标准的20毫升/公斤玻尿酸玻尿酸相比,评估减少和消除盐酸玻尿酸体积的疗效.
- 为了确定对成功完成MRI的儿科普罗波福尔镇静剂的影响.
- 评估镇静期间平均动脉压 (MAP) 的维持.
主要方法:
- 对172名儿童患者进行了回顾性审查,这些患者接受了用于MRI的propofol镇静剂.
- 三组镇静成功率和MAP的比较:20毫升/千克,10毫升/千克和0毫升/千克的盐酸玻尿酸.
- 成功镇静被定义为没有并发症的MRI完成.
主要成果:
- 镇静的成功率为92% (20毫升/公斤),100% (10毫升/公斤) 和91% (0毫升/公斤).
- 0毫升/公斤盐酸玻尿酸组显示了统计学上显著的平均MAP (p = 0.002) 的较高.
- 没有患者需要额外的干预来维持血压.
结论:
- 在MRI的儿科普罗波福尔镇静期间消除盐酸玻尿酸是安全有效的.
- 减少或没有盐酸玻尿酸可以保持血液动力学稳定性.
- 这些发现支持在这个患者群体中安全地减少盐酸玻尿酸体积.
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