高风险患者的深度镇静 接受紧急上部肠道内镜:一项回顾性研究评估安全性和有效性
Martina Mariani1, Romolo Villani1, Anna De Simone1
1Anesthesia, Emergency and Burn Intensive Care Unit, "AORN A. Cardarelli", Naples, Italy.
Translational medicine @ UniSa
|April 2, 2025
概括
紧急上部胃肠内镜镇静具有较低的并发症风险. 中度和深度镇静在接受这些高风险手术的患者中表现出类似的安全性,表明结果相似.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 医疗程序 医疗程序
背景情况:
- 紧急上部胃肠道 (GI) 内镜复杂且高风险.
- 在这些程序中,气道妥协是一个重要的关注点.
- 对于紧急胃肠道内镜中的麻醉学存在有限的指导.
研究的目的:
- 为了研究中度和深度镇静在紧急上部胃肠道内镜中的安全性和有效性.
- 为了比较镇静类型之间的并发症率和呼吸抑制.
主要方法:
- 这是一项回顾性,单心研究,涉及96名患者.
- 数据来自AORN卡达雷利的紧急胃肠道病房 (2023年6月至10月).
- 分析的重点是中度和深度镇静程序的关键特征.
主要成果:
- 在中度和深度镇静组之间并发症没有统计学上显著的差异.
- 在两组镇静剂中,呼吸系统抑郁的发生率相似.
- 不良结果是罕见的,即使是深度镇静.
结论:
- 中度和深度镇静似乎在紧急上部肠道内镜检查中同样安全.
- 在这两种镇静方法中,包括呼吸抑制在内的不良结果的风险很低.
- 在紧急内镜检查期间的麻醉行为可以安全地利用深度镇静.
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