关节镜的脊柱与全身麻醉 - 一个大流行 (COVID) 和流行 (阿片类药物) 驱动的研究
J W Thomas Byrd1, Kay S Jones1, Nicole Dwyer2
1Nashville Sports Medicine Foundation, 2004 Hayes Street, Suite 700, Nashville, TN 37203, USA.
脊椎麻醉 (SA) 提供了更好的疼痛控制关节透视比全身麻醉 (GA),用更少的麻醉和更少的区域阻塞. 随着SA的尿留可以通过预防措施来管理.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
背景情况:
- 随着COVID-19大流行,关节关节镜术从全身麻醉 (GA) 转向脊柱麻醉 (SA).
- 对术前参数进行比较分析对于优化麻醉技术至关重要.
研究的目的:
- 为了比较脊柱麻醉 (SA) 与全身麻醉 (GA) 的疗效和安全性,用于关节透视.
- 评估可测量的术后结果,包括疼痛控制和不良事件.
主要方法:
- 一个回顾性审查,将120个连续的SA病例与大流行前的最后120个GA病例进行比较.
- 对人口统计数据,麻醉后护理单位 (PACU) 停留时间,视觉模拟尺度 (VAS) 疼痛评分和药物使用情况的分析.
主要成果:
- 脊髓麻醉 (SA) 组显示,与吗啡相当的使用量显著降低 (6.0与8.1;P=.005),需要麻醉剂的患者减少 (17与7;P=.031).
- 在SA组中,区域区块较少 (1对14;P=.001) 和入门VAS得分较低 (5.2对6.2;P=.003).
- 五名早期的SA患者有尿,通过手术前排泄和避免抗胆固醇药物减轻了尿.
结论:
- 关节透镜是有效地管理的总麻醉 (GA) 或脊髓麻醉 (SA).
- 脊柱麻醉 (SA) 与GA相比,提供了优越的麻醉后护理单位疼痛管理.
- 通过适当的预防措施,可以最大限度地减少与SA相关的潜在并发症,如尿路保留.
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