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住院医生和外科医生之间,程序性麻醉的安全性是否相似?
John Hofheins1, Carl Provenzano1, Boyu Ma1
1Resident, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL.
概括
在口腔和面外科手术 (OMS) 中,住院医生和护理人员的程序镇静显示出类似的,低的不良事件率 (0.08%). 这支持监督住院麻醉的安全性和当前的OMS培训协议.
科学领域:
- 口腔和牙面部外科手术
- 麻醉 麻醉是一种麻醉.
- 患者安全 患者安全
背景情况:
- 在口腔和面外科手术 (OMS) 中,单一提供者麻醉的安全性已经确立.
- 之前的研究表明,在外科医生和住院医生之间,手术结果相似.
- 程序麻醉 (深度镇静到一般) 的安全性,由住院医生和OMS的护理人员管理,不太清楚.
研究的目的:
- 为了比较与麻醉相关的不良事件的频率在OMS住院医生和临床外科医生之间.
- 评估由实习生和经验丰富的临床医生管理的手术镇静的安全性.
主要方法:
- 在2012年至2020年期间接受手术镇静的3940名患者进行了回顾性队列研究.
- 从电子病历和纸质病历中提取的数据. 在学术门诊诊所.
- 住院人员和护理人员给出的镇静剂之间的不良事件 (呼吸,心脏,神经,过敏,吸收,药物错误) 进行了比较.
主要成果:
- 总共有3,940名患者被纳入;25.1%的患者从住院接受镇静剂,74.9%的患者从护理人员接受镇静剂.
- 在住院组中发生了一次不良事件 (0.1%).
- 在接受治疗的组中发生了两个不良事件 (0.07%) (心肌梗塞,术后恶心/吐);没有统计学上显著的差异 (P=1.0).
结论:
- 世界卫生组织住院人员和护理人员的程序镇静表明,不良事件的发生率同样低 (0.08%),没有永久的后果.
- 这些发现支持OMS监督住院者施用镇静剂的安全性.
- 目前的OMS程序镇静培训协议得到了这些结果的验证.
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