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尼尔·佩尔·奥斯在急诊室:在预期的紧急手术前禁食的定量研究

Benjamin Bekele, Ingegerd Hildingsson, André Johansson

Journal of emergency nursing

|April 3, 2025

概括

常规的nil per os (没有口服) 对于急诊室患者来说往往是不必要的. 较低的分类优先级很少需要紧急手术,这表明禁食经常是不合理的,可能是有害的.

科学领域:

紧急医疗紧急医疗
外科手术患者管理
临床实践指南临床实践指南

背景情况:

尼尔·佩罗斯 (Nil per os) 是在急诊室 (ED) 怀疑有手术需要的患者的标准预防措施.
这种做法可能导致长时间的禁食,可能导致患者的不良结果.
在ED中常规无人机的必要性和适当性需要评估.

研究的目的:

评估对急诊室患者的零人数实践的必要性和适当性.
根据分拣和首席投诉,评估紧急手术的预测价值.

主要方法:

在2023年对两家ED的41,983名患者访问进行了回顾性定量观察性研究.
分析的重点是手术,骨科和神经学的主要投诉.
通过使用快速紧急选和治疗系统 (RETTS) 的优先级,在6小时和12小时内评估紧急手术的负预测值.

主要成果:

6.1%的患者接受了紧急手术.
在RETTS优先级3,4和5中,在12小时内进行紧急手术的负预测值>99%.
RETTS优先级1显示了最低的负预测值,从80%到90%不等.

结论:

在ED到来时,常规的零费用经常是不合理的,特别是对于未被归类为RETTS优先级1的患者.
调查结果表明需要更新指南,以确保零费用是基于明确的医疗需要.
尽量减少不必要的禁食可以减轻相关的患者风险.

关键词:

应急部门的紧急情况部门.紧急情况护士尼尔每一个我们.没有什么通过口腔的东西.在手术前禁食.

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