门诊骨科创伤手术:它是安全的吗?
Benjamin J Averkamp1, Meghan K Wally1, Ziqing Yu1
1Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC.
概括
门诊手术骨折管理对于许多复杂的骨科创伤病例来说是安全有效的. 遵守疼痛管理指南和使用区域麻醉有助于患者的积极结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 疼痛管理 疼痛管理
背景情况:
- 实施2019年骨科创伤协会 (OTA) 关于肌肉骨疼痛的指南.
- 在门诊环境中管理原发性和修复性骨科创伤病例.
- 标准化疼痛管理协议,涉及区域麻醉.
研究的目的:
- 评估门诊手术骨折管理的结果.
- 评估并发症率,急诊室访问和重新手术.
- 分析患者对疼痛控制和药物管理的满意度.
主要方法:
- 追溯88名成年患者的病例系列,他们接受了骨折手术.
- 数据是通过一级创伤中心门诊机构的回顾性图表审查收集的.
- 分析主要结果 (并发症,急救诊所,重复手术) 和次要结果 (办公室电话,疼痛投诉,补充).
主要成果:
- 77%的患者接受区域麻醉.
- 8%的患者 (10次遭遇) 在30天内提交给急诊室,其中大多数与受伤有关.
- 4个急救诊所的访问是为了疼痛,没有一个需要入院; 76%的办公室访问是为了补充药物.
结论:
- 复杂的骨科创伤可以在门诊环境中有效管理.
- 仔细选择患者对于成功的门诊治疗至关重要.
- 区域麻醉和适当的疼痛管理是确保患者安全和舒适的关键.
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