电子健康记录的关联,患者自我报告很难麻醉
Robert D Bowers1, Wei Shi2, Chandler Pendleton2
1Department of Family Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, USA.
Journal of dental anesthesia and pain medicine
|April 9, 2025
概括
一项研究发现,11.4%的患者报告牙麻醉有困难. 诸如女性性别,牙科恐惧和针焦虑等因素与这些经历有显著的相关性,影响疼痛管理.
科学领域:
- 牙科麻醉学 牙科麻醉学
- 疼痛管理 疼痛管理
- 患者健康记录 分析 分析
背景情况:
- 报告牙科麻醉难度的患者是常见的.
- 了解与麻醉挑战相关的患者特征对于改善疼痛管理至关重要.
- 这些患者的患病率和共同特征需要调查.
研究的目的:
- 为了确定患者自我报告牙科麻醉困难的频率.
- 为了确定与麻醉相关的人口,医疗和牙科史变量,麻醉挑战.
- 提高对牙科疼痛管理失败的理解.
主要方法:
- 一项匿名的横截面研究分析了12,400名患者的电子健康记录 (EHR).
- 比较患者自我报告麻醉困难与那些报告没有问题的人.
- 在EHR数据上使用了描述性,单变量和多变量回归分析.
主要成果:
- 11.4%的患者报告说牙科麻醉有困难.
- 重要的预测因素包括女性性别,牙科恐惧,精神健康障碍,全身麻醉问题,神经障碍,心肌关节点击和针焦虑.
- 根管治疗史显示了轻微的负面关联.
结论:
- 很大一部分患者在局部麻醉方面遇到挑战.
- 需要进一步研究麻醉耐药性与性别,恐惧和神经疾病等因素之间的联系.
- 建议使用基于证据的麻醉技术和沟通,以减少患者的疼痛和牙科恐惧.
相关概念视频
Methods of Documentation VII: EMR
784
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
784
Data Reporting and Recording
4.6K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
4.6K
Local Anesthetics: Clinical Application as Epidural Anesthesia
400
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
400
General Anesthesia: Overview
159
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
159
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
330
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
330
Local Anesthetics: Clinical Application as Spinal Anesthesia
559
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
559


