外科医生可以减少WALANT局部麻醉注射的疼痛,如果他们要求患者反
Cristóbal Greene1,2, Guillermo Droppelmann3,4, Daniel Fodor5
1Department of Orthopaedics, MEDS Clinic, Santiago, RM, Chile.
Plastic surgery (Oakville, Ont.)
|April 2, 2025
概括
在Wide Awake局部麻醉无护 (WALANT) 手道手术期间最大限度地减少疼痛至关重要. 患者对注射疼痛事件的反显著改善了外科医生的技术,减少了患者的不适.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 患者对局部麻醉剂注射疼痛的焦虑在Wide Awake Local Anesthesia No Tourniquet (WALANT) 手道手术期间很常见.
- 最少疼痛的注射技术没有始终优先考虑,导致不必要的患者不适.
- 需要对注射疼痛进行客观测量,以改进外科手术技术.
研究的目的:
- 评估直接患者反对外科医生在WALANT手腕道手术期间局部麻醉注射疼痛事件的影响.
- 开发一个客观的注射疼痛评分系统,以提高外科医生的技能.
主要方法:
- 一位单独的外科医生收集了250名连续接受WALANT手腕道手术的患者的反.
- 患者在局部麻醉剂注射期间报告了疼痛事件.
- 疼痛事件被计算在35个月内,以客观地得分注射技术.
主要成果:
- 外科医生的注射疼痛评分在研究期间显著改善.
- "一洞一洞"得分 (只感觉到最初的针刺) 从前50名患者的0增加到最后50名患者的37个.
- 这表明感知到的注射疼痛显著减少.
结论:
- 进行WALANT手腕道手术的外科医生可以通过征求患者对疼痛事件的反来有效地减少注射疼痛.
- 计数患者报告的疼痛事件为注射技术提供了可量化的得分.
- 立即的患者反为外科医生提供了一种有价值的工具,以改进和最大限度地减少注射相关的疼痛.
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