用视频演示和不用视频演示对吸入全身麻醉期间儿童诱导行为的口罩预约效应的比较:一项随机对照试验
Alexander Jacob1, John George Aiyankovil2, D Girijanandan Menon3
1Department of Critical Care Medicine, Malankara Orthodox Syrian Church Medical College, Ernakulam, IND.
Cureus
|November 17, 2025
概括
面具预制的视频演示并没有改善麻醉儿童接受面具的情况. 然而,它与更顺的诱导和更长的毛反射损失时间有关,这表明对儿科麻醉有潜在的益处.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 儿童心理学 儿童心理学
- 医疗教育 技术 技术 医学教育
背景情况:
- 在儿童中诱导吸入麻醉通常面临面具接受和焦虑的挑战.
- 困难可能导致痛苦,延长诱导,增加麻醉风险和不良行为结果.
- 非药物战略,如调味面具和视听分心,已经显示出不同的成功.
研究的目的:
- 为了比较4-10岁儿童在吸入麻醉诱导期间面罩接受率.
- 评估视频演示面具预制的有效性,并结合家长和儿童的参与.
- 评估视频辅助面具预定对诱导时间和患者合作的影响.
主要方法:
- 单盲,随机对照试验涉及66名儿童 (年龄在4-10岁).
- 干预组观看了关于面具预调的2分钟视频,然后进行模拟.
- 对照组接受了现场演示;结果包括面罩接受 (CIBAT),毛反射损失的时间和IV管时间.
主要成果:
- 在视频和非视频组之间,面罩的整体接受度没有显著差异 (p = 0.16).
- 在视频组 (237.1s vs. 217.3s,p = 0.027) 中,毛反射丧失的时间显著更长.
- 在静脉注射管道的时间没有观察到任何差异.
结论:
- 视频辅助的口罩预调并没有显著改善儿科麻醉诱导中的整体面罩接受率.
- 这种技术与更顺的诱导和延长毛反射损失的时间有关.
- 初步发现表明潜在的好处,但由于样本大小和单中心设计等局限性,需要在更大的多中心研究中进行验证.
关键词:
麻醉诱导诱导的麻醉.孩子的行为.选择性外科手术是一种选择性手术.面罩验收 面罩验收一般麻醉全身麻醉吸入的诱导诱导是通过吸入的.儿科麻醉 儿科麻醉父母的参与.手术前的焦虑,手术前的焦虑.视频演示视频演示.更多相关视频
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