在内镜超声波期间与镇静相关的不良事件的危险因素
Patricia Abellán-Alfocea1, Francisco Valverde-López1, Juan Gabriel Martínez-Cara1
1Department of Gastroenterology and Hepatology, Hospital Universitario Virgen de las Nieves, Spain (Patricia Abellán-Alfocea, Francisco Valverde-López, Juan Gabriel Martínez-Cara, Rita Jiménez-Rosales, Clara Heredia-Carrasco, Eduardo Redondo-Cerezo).
当由非麻醉学家管理时,用于内镜超声波 (EUS) 的普罗波镇静是安全的. 肥胖和并发症增加风险,但年龄并非如此,强调需要仔细选择患者.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 患者安全 患者安全
背景情况:
- 复杂的内镜程序,如内镜超声波 (EUS),需要更高的镇静剂量,增加不良事件的风险.
- 这项研究评估了在EUS期间由非麻醉学家进行的propofol镇静的安全性.
- 它确定了与镇静相关不良事件相关的因素.
研究的目的:
- 评估在EUS期间由非麻醉师管理的propofol镇静的安全性.
- 在EUS程序中识别与镇静相关的不良事件的独立风险因素.
主要方法:
- 对2986次EUS考试的前性队列研究 (2011年1月至2019年5月).
- 收集关于患者特征 (年龄,BMI,ASA类),程序细节和镇静结果的数据.
- 后勤回归分析了不良事件的风险因素.
主要成果:
- 与镇静相关的并发症发生在4.8%的患者中;低血氧是最常见的 (3.8%).
- 肥胖患者有较高的低氧化症,早期停药和口罩呼吸率.
- 肥胖 (OR 8.57) 和并发症 (ASA III/IV,OR 2.04) 是独立的风险因素;年龄没有重要意义.
结论:
- 在EUS期间由非麻醉科医生进行的普罗波镇静是安全的,低,大多是微不足道的不良事件率.
- 肥胖和并发症是并发症的关键风险因素,而不是年龄.
- 仔细选择患者和内镜师培训对于尽量减少EUS中镇静风险至关重要.
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