[关于在上肢和下肢手术中安全使用带的建议和协议]
Antonio Tufi Neder Filho1,2, Túlio Vinícius de Oliveira Campos1
1Departamento do Aparelho Locomotor, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
Revista brasileira de ortopedia
|July 31, 2025
概括
带在骨科手术中提供了一个无血液的领域,但存在风险. 这篇文章更新了围使用的证据,并提出了一个安全的应用协议,以尽量减少并发症.
科学领域:
- 整形外科手术 整形外科手术
- 血管接入管理系统
背景情况:
- 围 (TNQ) 在骨科手术中至关重要,因为它可以创造一个无血液的外科领域.
- 然而,使用TNQ与重大风险有关,包括疼痛,神经损伤和深静脉血栓形成.
研究的目的:
- 总结目前关于带 (TNQ) 在骨科手术中的应用的证据.
- 提出一个关于安全和有效使用带的协议.
主要方法:
- 关于在骨科手术中使用带 (TNQ) 的现有文献和证据的审查.
- 根据确定的风险和最佳实践制定安全协议.
主要成果:
- 关键建议包括适当的肢体填充,特定的膨胀压力 (上肢50 mmHg,下肢100 mmHg高于 perfusion 压力),以及避免在特定的患者群体中使用.
- 最大通胀时间为2小时,训练有素的团队监测通胀并发症,如出血和栓塞.
结论:
- 坚持推的指导方针和结构化的协议可以显著减轻带 (TNQ) 相关的风险.
- 通过知情的实践和在骨科手术期间的警监测,可以实现安全的带 (TNQ) 应用.
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