梯形甲手腕关节置换:WALANT和plexus阻塞麻醉之间的经济比较
Olivier de Boccard1, Thierry Christen1, Camillo Müller2
1Centre de la Main, Plastic and Hand surgery Unit, University Hospital of Lausanne (CHUV), Switzerland.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|February 16, 2025
概括
完全清醒的局部麻醉,没有带 (WALANT) 与传统的关节块相比,为形甲手腕关节关节整形提供了显著的成本和效率优势. 这种技术减少了成本和手术室的时间,同时保持了患者的舒适性.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 卫生经济学 卫生经济学
背景情况:
- 形甲手臂关节 (TMC) 关节整形手术是一种常见的骨关节炎手术.
- 传统的麻醉方法,如尾阻塞 (AB),涉及更长的设置和恢复时间.
- 优化麻醉技术可以提高手术效率并降低医疗保健成本.
研究的目的:
- 为了比较清醒局部麻醉的成本效益和效率,没有带 (WALANT) 技术与关节阻断 (AB) 对TMC关节关节整形进行了比较.
- 为了评估患者的结果,包括疼痛和恢复,在两个麻醉方法之间.
主要方法:
- 一个单一的回顾性研究,涉及39名接受TMC关节关节整形手术的患者.
- 患者被分为两组,10组接受了WALANT,29组接受了AB.
- 收集的数据包括成本,手术室 (OR) 时间,手术时间,除手术外的所有时间以及患者报告的疼痛水平.
主要成果:
- 与AB相比,WALANT的总体成本降低了18.7%,与AB相比,WALANT的总成本降低了18.7%.
- 总OR时间在WALANT组减少了5分钟,这是由于"除手术以外的一切"时间减少.
- 在WALANT组的患者经历了最小的手术内疼痛和低的术后疼痛,阿片类药物使用在第三天停止.
结论:
- 沃兰特是TMC关节关节整形术的高效和经济有效的替代品.
- 该技术为患者提供了与AB.AB可比的疼痛和恢复体验.
- 沃兰特优化了OR时间并降低了成本,使其成为该程序的可行选择.
关键词:
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