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相关概念视频

Hand hygiene01:23

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
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Purpose and Process:
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上腺素和手术手术.

Calista Stevens1, Kelly White1, Eve Cathcart1

  • 1University of Connecticut School of Medicine, Farmington, CT, USA.

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概括
此摘要是机器生成的。

在手部手术中使用上腺素是安全的,包括Wide Awake 局部麻醉不带围 (WALANT) 技术. 一项系统性审查在14735名患者中没有发现数字缺血或亡并发症.

关键词:
上腺素的使用情况.手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...缺血 缺血是因为缺血.利多卡因 (Lidocaine) 是一种药物.瓦伦特是一个伟大的人.

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科学领域:

  • 手术手术手术手术手术
  • 麻醉学 麻醉学
  • 血管外科 血管外科

背景情况:

  • 越来越多地强调以价值为基础的护理和Wide Awake Local Anesthesia with No Tourniquet (WALANT) 技术在手术中增加了上腺素的使用.
  • 外科医生对选择性上腺素在手指中的使用表示担忧,尽管它被认为是安全的.
  • 需要基于证据的数据,以告知外科医生和患者关于手术中上腺素的安全性.

研究的目的:

  • 系统地审查与手术中使用上腺素相关的缺血并发症的发生率.
  • 评估上腺素在手术中的安全性,特别是在WALANT技术中.
  • 提供支持或反驳有关从使用上腺素数字缺血的担忧的数据.

主要方法:

  • 在Scopus数据库 (2005-2022) 中进行系统搜索.
  • 包括51项研究,其中14735名患者接受了手部手术,注射了上腺素 (手腕和远端).
  • 排除病例报告,综述,动物/尸体研究,非英语或缺乏并发症数据的研究;对并发症率的综合分析.

主要成果:

  • 在51项研究中没有报告数字缺血或亡病例.
  • 总共有14,735名患者被纳入了系统性审查.
  • 在标准度下使用上腺素没有显示与缺血并发症的关联.

结论:

  • 在手部手术中以标准度使用上腺素是安全的,并且与缺血并发症无关.
  • 这些发现支持了上腺素的安全性,特别是在WALANT技术中,度为1:100,000.
  • 这一系统性审查提供了强有力的证据,证明上腺素在手术中的安全使用.