神话还是模式? 探索巴基斯坦肌肉骨四肢手术中对上腺素使用的当前看法和实践
Faaiz Ali Shah1, Aimal Sattar2, Haroon Ur Rashid3
1Faaiz Ali Shah Orthopedics and Traumatology Division, Lady Reading Hospital, MTI, Peshawar Pakistan.
Pakistan journal of medical sciences
|September 22, 2025
概括
巴基斯坦的许多骨科外科医生仍然避免在部手术中注射上腺素局部麻醉剂,这是由于一种持久的神话. 尽管有证据表明安全性,但这种做法仍在继续,可能会影响患者的护理和手术结果.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 外科手术的实践
背景情况:
- 一个普遍的神话表明,上腺素含有局部麻醉 (ACLA) 由于缺血性亡的风险,对手指和脚手术不安全.
- 关于在部区域使用ACLA的当前手术实践需要更新的概述.
研究的目的:
- 评估围绕ACLA在手术中的使用的神话的普遍性.
- 确定有关巴基斯坦ACLA的骨科外科医生当前的临床实践.
主要方法:
- 通过使用验证的问卷进行了一项描述性的横截面研究.
- 该问卷通过电子邮件发送给那些是巴基斯坦骨科协会成员的骨科外科医生.
- 该研究评估了ACLA使用的频率和模式,特别是在手指和脚.
主要成果:
- 在398名受访者中,绝大多数 (79.89%) 在他们的实践中使用ACLA.
- 在手腕 (28.30%),肩膀 (23.58%) 和脚 (13.20%) 周围的手术中,ACLA最常被使用.
- 然而,超过一半 (52.20%) 的参与者仍然相信这个神话,并认为ACLA不应该用于手指和脚.
结论:
- 巴基斯坦的骨科外科医生经常在非形手术中使用ACLA,但避免在手指和脚上使用它.
- 大多数外科医生继续坚持神话,认为ACLA对部位不安全.
- 这种信念与当前支持ACLA在手术中的安全性的文献相矛盾.
关键词:
这就是ACLA.上腺素是一种数字性缺血是什么意思数字性缺血是什么意思上腺素的使用情况.一个手指的缩.利多卡因 (Lidocaine) 是一种药物.当地麻醉局部麻醉瓦伦特是一个伟大的人.克西洛卡因 (Xylocaine) 是一种类药物.更多相关视频
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