在儿科手术中进行外科手术期间的静脉输液管理:一个范围审查协议
Viviana Leidy Sanchez1, Valentina Pinzon Rodas2, Ginna Bautista2
1Department of Anesthesiology, Universidad del Cauca, Popayan, Colombia.
BMJ open
|February 6, 2026
概括
本范围审查映射了非心脏外科手术中儿科外科手术期间静脉注射液管管理的证据. 它强调需要综合数据,因为儿童特异性研究有限,依赖成人指南.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 手术护理 手术护理
- 证据综合 证据综合
背景情况:
- 术后静脉输液管理对儿科患者至关重要,影响酸平衡,电解质和血液动力学.
- 现有的研究主要集中在成年人身上,在非心脏手术的儿科指南中留下了一个空白.
- 目前的儿科流体管理往往从成人建议中推断出来,需要对现有证据进行审查.
研究的目的:
- 进行范围审查,绘制有关非心脏手术的儿科患者外科手术期间静脉注射流体管理的现有证据.
- 识别和综合研究流体管理策略在术前,术后和术后阶段 (长达24小时).
- 为未来的系统性审查和指导方针开发提供信息,用于儿科外科手术周流体治疗.
主要方法:
- 根据乔安娜·布里格斯研究所 (JBI) 的方法和PRISMA-ScR指南进行范围审查.
- 在多个数据库 (PubMed,Embase,Web of Science等) 中进行全面的文献搜索. 没有日期限制.
- 包括随机试验,观察性研究和系统性审查,重点关注接受非心脏手术的儿科患者 (<18岁).
主要成果:
- 该综述将描述性地综合有关儿科非心脏手术中静脉注射液体管理的数据.
- 结果将以叙事和表格形式呈现,突出现有研究的异质性.
- 没有计划进行元分析或偏差风险评估,与范围审查方法相一致.
结论:
- 本范围审查将全面概述当前关于儿科外科手术周流体管理的证据基础.
- 它将确定知识上的差距,并指导未来的研究重点在这个关键领域的儿科外科护理.
- 通过出版物和演讲传播将支持儿童麻醉和手术的基于证据的实践.
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