在选择性儿科神经外科手术后,在手术室不进行输出管的发生率,危险因素和结果-一项前性观察性研究
Amruta Nirale1, Suparna Bharadwaj1, Sangeetha R Palaniswamy1
1Department of Neuroanaesthesia and Neurocritical Care, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Paediatric anaesthesia
|March 17, 2025
概括
在儿科神经外科手术中,延迟输管发生在13%的病例中,与更高的风险有关. 诸如ASA等级和并发症等因素预测了这一点,导致了较差的结果.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 神经外科 神经外科
- 关键护理医学 关键护理医学
背景情况:
- 有限的研究存在于小儿神经外科手术后的非输出管.
- 非输出管可以对患者的结果产生负面影响.
- 了解非输出管是改善护理的关键.
研究的目的:
- 为了确定儿童神经外科手术中非输出管的发生率.
- 为了确定与非输出管相关的风险因素.
- 评估非输出管对患者结局的影响.
主要方法:
- 在大学医院进行前性观察性研究.
- 包括738名接受选择性神经外科手术的儿童 (<18岁).
- 收集了有关患者因素,手术细节和结果的数据.
主要成果:
- 非输出管的发生率为13.01%.
- 预测因素包括较高的ASA级,神经麻,长时间的手术,手术内并发症和输血.
- 非输出管与神经衰退,死亡率和更长的住院时间相关.
结论:
- 显著比例的儿童在选择性儿科神经外科手术后没有立即抽管.
- 更高的ASA等级,下神经麻,长时间的手术,手术内并发症和输血增加了延迟输出的风险.
- 非输出管与不良的术后结果有关,包括神经衰退,死亡率和延长住院时间.
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