在外科手术期间的病:麻醉方面的考虑
1Department of Anesthesiology and Critical Care Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Cureus
|January 19, 2026
概括
由于皮肤脆弱和潜在的全身性问题,对皮肤突发性疾病的麻醉护理需要仔细规划. 本综述强调了这些高风险患者的创伤性处理和呼吸道策略.
科学领域:
- 麻醉学 麻醉学
- 皮肤病学 皮肤病学
- 系统性疾病管理
背景情况:
- 牛皮性皮肤疾病带来了独特的麻醉挑战.
- 对于这些患者的术后管理存在有限的证据.
研究的目的:
- 综合当代关于自身免疫和遗传性毛病患者麻醉和外科手术周围策略的数据.
- 确定基于证据的实践,用于管理皮肤突发性疾病的患者.
主要方法:
- 2015-2025年英语语言研究的系统审查.
- 在PROSPERO注册的审查 (CRD420251160409).
- 包括26项报告外科手术期间管理的研究.
主要成果:
- 确定了17项外科手术期间的预防措施,重点是尽量减少创伤 (例如,补丁,滑).
- 气道策略强调设备滑和无带固定.
- 更广泛的系统性考虑包括代谢,心血管和脏问题.
结论:
- 创伤后处理,精细的呼吸道规划和个性化的多系统评估至关重要.
- 目前还没有标准化的指导方针.
- 需要进一步的前性研究来建立基于证据的协议.
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