在脊髓麻醉下选择性剖腹产期间,主动加热的有效性以防止动:系统性审查和元分析
Li Wan1, Dong-Mei Li2, Chen-Chen Shen3
1Anesthesiology and Perioperative Medicine, Jiaxing Maternity and Children Health Care Hospital, Affiliated Women and Children Hospital of Jiaxing University, Jiaxing, China.
概括
活跃升温 (AW) 有效地防止在脊髓麻醉 (SA) 下剖腹产 (CD) 期间和低温. 然而,将不同的AW方法结合起来,与单一方法相比,没有任何额外的好处,以防止CD患者发.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 热调节 热调节 热调节
背景情况:
- 主动加热 (AW) 是一种在剖腹产期间预防低温的标准方法.
- 是脊髓麻醉 (SA) 中CD期间常见的并发症.
研究的目的:
- 评估主动升温 (AW) 在脊椎麻醉 (SA) 下预防剖腹产 (CD) 期间的疗效.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 搜索的数据库包括PubMed,Embase,CENTRAL,科学网络和万芳.
- 包括RCT比较强制空气加热 (FAW),静脉液体加热 (IVF) 和加热床,单独或组合,与没有AW或单个AW方法.
主要成果:
- 与没有AW相比,主动变暖 (AW) 显著降低了发 (RR 0.38) 和低温 (RR 0.50) 的发生率.
- 结合的AW方法没有提供额外的好处,而不是单一的AW方法 (RR 0.72) 或低温 (RR 0.59).
- AW疗效不受加热方法,FAW持续时间或内阿片类药物使用的影响.
结论:
- 无论单独使用还是组合使用,主动加热 (AW) 技术在脊髓麻醉 (SA) 下的选择性剖腹产 (CD) 期间防止发作同样有效.
- 临床医生可以根据可用性和患者需求选择任何AW方法,因为组合不会提高疗效.
相关概念视频
Decreased Body Temperature
710
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
710
Local Anesthetics: Clinical Application as Epidural Anesthesia
502
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...
502
Local Anesthetics: Clinical Application as Spinal Anesthesia
807
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...
807
Parenteral Anesthetics: Overview
203
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
203
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
594
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...
594
Skeletal Muscle Relaxants: Therapeutic Uses
624
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
624


