只有带带和局部麻醉的ECTR:效率和患者满意度
Kasparas Zilinskas1, Reena Bakshi1, Kristin Clemmons1
1Medical University of South Carolina, Charleston, USA.
概括
只有局部麻醉内镜手指道释放 (LO-ECTR) 比手术室内镜手指道释放 (OR-ECTR) 快得多,更环保. 患者对LO-ECTR的满意度很高,报告有轻度至中度疼痛.
科学领域:
- 整形外科手术 整形外科手术
- 最少侵入性手术的方法
- 麻醉技术 麻醉技术
背景情况:
- 带道释放 (CTR) 经常在完全清醒的局部麻醉下进行,没有带 (WALANT).
- 内镜手掌道释放 (ECTR) 通常是在手术室 (OR) 在麻醉下 (OR-ECTR) 进行的.
- 这项研究评估了在局部麻醉下使用带 (LO-ECTR) 进行的ECTR.
研究的目的:
- 为了比较OR-ECTR和LO-ECTR之间的程序效率.
- 评估两种ECTR技术对环境的影响.
- 为了评估患者对LO-ECTR的满意度.
主要方法:
- 从2021年6月到2023年6月,对137个LO-ECTR和104个OR-ECTR病例进行了回顾性审查.
- 通过手术,康复和总住院时间来衡量效率.
- 通过手术室废物重量评估的环境影响;通过术后调查评估患者满意度.
主要成果:
- 与OR-ECTR相比,LO-ECTR在整体手术,手术,手术前保持和恢复方面表现出明显更快的时间 (P < .001).
- LO-ECTR导致手术室废物重量大大降低 (1.3公斤与6.0公斤相比,P < .001).
- 患者报告轻度/中度疼痛,总体满意度为96.6%,98.5%的人愿意推LO-ECTR.
结论:
- 与OR-ECTR相比,LO-ECTR在所有时间指标上都更有效.
- LO-ECTR显示了环境影响的潜在改善.
- 需要进一步的研究来评估LO-ECTR的长期结果.
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