在中国消化肠道内镜的麻醉前评估:全国网络问卷调查调查
Jun Lu1, Bo Li1, Guanghuan Xu2
1Department of Anesthesiology, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai, 200433, China.
在中国的胃肠内镜 (GIE) 麻醉前评估 (PAE) 显示了显著的差距. 双重定时改善了取消,但测试缺乏风险分层,表明需要基于证据的协议和数字健康整合来提高患者安全.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 在中国,胃肠内镜 (GIE) 中对镇静的需求不断增加.
- 缺乏足够的麻醉人员是一个挑战.
- 麻醉前评估 (PAE) 是至关重要的,但在中国被低估.
研究的目的:
- 调查目前在中国对GIE的PAE和镇静实践.
- 识别术后护理方面的差距和需要改进的领域.
- 为基于证据的协议开发提供信息.
主要方法:
- 全国基于网络的问卷调查于2024年1月至2月进行.
- 调查针对中国各地的麻醉师.
- 收集关于PAE和GIE镇静实践的数据.
主要成果:
- 来自282家医院的413名麻醉师参加了这次活动.
- 双重PAE时间 (GIE之前和当天) 减少了取消 (15.2%与31.5%相比,p<0.01).
- 术前心电图测试很常见 (95.0%),但缺乏风险分层;观察到评估策略的显著变化.
结论:
- 在中国对GIE的PAE实践中存在关键差距.
- 将实践与基于证据的协议和数字健康结合起来,可以提高外科手术期间的安全性.
- 这些发现突出了麻醉和内镜镇静培训的教育需求.
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