Protocol for scoping review: Patient-controlled sedation.

IF 1.9 4区 医学 Q2 ANESTHESIOLOGY
Acta Anaesthesiologica Scandinavica Pub Date : 2024-10-01 Epub Date: 2024-06-26 DOI:10.1111/aas.14478
Jasmin Davodi, Christina V Intzilaki, Casper Steenholdt, Ann M Moeller
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引用次数: 0

Abstract

Background: In settings where general anaesthesia is unnecessary, effective sedation, analgesia and local anaesthesia are crucial for optimal outcomes. Traditionally, sedation have been managed and controlled by healthcare professionals, but advancements in pharmacology and technology have renewed the way we are able to sedate. Patient-controlled sedation (PCS) offers a promising approach, allowing patients to adjust their sedation levels during procedures. This shift aims to enhance sedation quality, improve patient satisfaction and involvement and expedite discharge.

Methods: The search strategy will be crafted in partnership with the Librarian well-versed in scoping reviews. 'Patient controlled sedation' is a wide search. The search will include databases, as MEDLINE/PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL and Google Scholar. All literature findings will be entered into a web-based screening and data extraction tool. Two independent reviewers will assess the eligibility and inclusion of all studies. The variables to be extracted will encompass trial characteristics, participant characteristics, assessment of PCS, identified risk factors for PCS, and the evaluation of patient satisfaction as assessed in the included studies.

Results: Following PRISMA-P and PRISMA-ScR guidelines, this scoping review includes studies of any design. Data synthesis involves descriptive statistics and narrative presentations to explore the relationship between results and objectives. The outcome will be which procedures/surgeries PCS is used for and which patients are eligible for PCS. Additionally, aspects such as patient and operator satisfaction, economical pros and cons adverse effects will be considered.

Conclusion: The scoping review will aim to give a better understanding of in which settings PCS is used. This scoping review provides a comprehensive understanding of PCS and identifies gaps in the literature to shape future research, so we can ensure the best possible sedation for patients in the future.

范围界定审查协议:患者自控镇静法
背景:在没有必要进行全身麻醉的情况下,有效的镇静、镇痛和局部麻醉对取得最佳疗效至关重要。传统上,镇静一直由医护人员管理和控制,但药理学和技术的进步更新了我们的镇静方式。患者控制镇静(PCS)提供了一种前景广阔的方法,允许患者在手术过程中调整自己的镇静水平。这一转变旨在提高镇静质量,改善患者满意度和参与度,并加快患者出院:将与精通范围界定综述的图书管理员合作制定搜索策略。患者控制镇静 "是一个广泛的搜索。搜索范围包括 MEDLINE/PubMed、EMBASE、Cochrane Central Register of Controlled Trials、CINAHL 和 Google Scholar 等数据库。所有文献结果都将输入网络筛选和数据提取工具。两名独立审稿人将对所有研究的资格和纳入情况进行评估。提取的变量将包括试验特征、参与者特征、PCS 评估、已确定的 PCS 风险因素以及纳入研究中对患者满意度的评估:根据 PRISMA-P 和 PRISMA-ScR 指南,本次范围界定综述包括任何设计的研究。数据综合包括描述性统计和叙述性陈述,以探讨结果与目标之间的关系。研究结果将包括 PCS 用于哪些程序/手术以及哪些患者符合 PCS 的条件。此外,还将考虑患者和操作者的满意度、经济利弊和不良影响等方面:此次范围界定审查旨在更好地了解 PCS 在哪些情况下使用。该范围界定综述提供了对 PCS 的全面了解,并找出了文献中的不足之处,为今后的研究提供了参考,从而确保今后为患者提供最佳镇静效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
9.50%
发文量
157
审稿时长
3-8 weeks
期刊介绍: Acta Anaesthesiologica Scandinavica publishes papers on original work in the fields of anaesthesiology, intensive care, pain, emergency medicine, and subjects related to their basic sciences, on condition that they are contributed exclusively to this Journal. Case reports and short communications may be considered for publication if of particular interest; also letters to the Editor, especially if related to already published material. The editorial board is free to discuss the publication of reviews on current topics, the choice of which, however, is the prerogative of the board. Every effort will be made by the Editors and selected experts to expedite a critical review of manuscripts in order to ensure rapid publication of papers of a high scientific standard.
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