意识镇静与全身麻醉对皮肤左前庭尾闭塞:一个系统的审查和元分析
Hritvik Jain1, Siddhant Passey2, Jyoti Jain3
1Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, India.
概括
与全身麻醉 (GA) 相比,通过皮肤治疗左心房尾闭塞 (LAAO) 的有意识镇静 (CS) 提供了更快的程序和更少的对比使用. 这种方法保持了可比的安全性和有效性,使其成为LAAO的可行替代方案.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 麻醉学 麻醉学
背景情况:
- 穿皮左心房尾闭塞 (LAAO) 传统上需要全身麻醉 (GA) 患者的舒适和不动.
- 经食道回声心脏图经常在GA下LAAO程序中使用.
研究的目的:
- 为了比较意识镇静 (CS) 与LAAO的GA的安全性和有效性.
- 为了评估LAAO的结果,越来越多地使用心内心声谱指导.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane Central,Scopus) 进行系统的文献搜索,截至2024年12月.
- 随机效应模型用于分析程序并发症和特征,计算平均差异和几率/风险比率,以95%的置信区间.
- 四项涉及1540名患者 (678名CS,862名GA) 的研究被纳入了分析.
主要成果:
- CS与显著缩短的程序时间 (MD -11.95分钟) 和较低的对比介质体积 (MD -31.90毫升) 相关.
- 在光镜时间,住院时间,装置成功或主要不良事件 (包括死亡率,中风,血栓和周围设备泄漏) 中没有发现显著差异.
- 在LAAO程序中,CS证明了与GA相比的安全性和有效性.
结论:
- 在CS下穿皮LAAO是可行的,导致更快的程序和减少对比度的使用,而不会影响临床结果.
- 需要进一步的随机试验和延长的随访,以充分确定CS对LAAO的长期益处.
相关概念视频
General Anesthesia: Overview
560
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
560
Cardiac Catheterization III: Left Heart Catheterization
560
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
560
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
1.2K
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...
1.2K


