Safety Assessment of Sedation Services in Radiology at Shaukat Khanum Memorial Cancer Hospital and Research Center, Peshawar.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-01 DOI:10.12669/pjms.40.8.9326

Faraz Mansoor

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引用次数: 0

Abstract

Objective: The purpose of this retrospective observational study was to evaluate the safety of newly started sedation services in the department of Radiology Shaukat Khanum Memorial Cancer Hospital and Research Center Peshawar, Pakistan.

Methods: Medical record of the patients who underwent sedation for different types of imaging studies at Shaukat Khanum Memorial Cancer Hospital, Peshawar center were retrospectively reviewed to evaluate the safety outcome of sedation. Process variables included preoperative assessment, obtaining informed consent acquisition, confirmation of nulla per os (NPO) status, monitoring during the procedure, post-anesthetic care unit (PACU) handover, and discharge instructions. The monitored complications included instances of cardiac arrest, respiratory arrest, hypoxia, apnea and vomiting.

Results: No major adverse events, such as respiratory or cardiovascular arrest, were observed among the patients in our study. A limited number of cases experienced minor events, specifically hypoxia and apnea, all of which were effectively addressed through simple maneuvers. However, one patient with previously undiagnosed obstructive sleep apnea encountered upper airway obstruction, necessitating the discontinuation of the procedure. Subsequently, all patients were safely discharged to their homes from the recovery area.

Conclusion: Sedation in Radiology department can be safely performed by adhering to a structured approach aligned with hospital policies and procedures.

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白沙瓦肖卡特-卡努姆纪念癌症医院和研究中心放射科镇静服务安全评估。

研究目的这项回顾性观察研究的目的是评估巴基斯坦白沙瓦肖卡特-卡努姆纪念癌症医院和研究中心放射科新开设的镇静服务的安全性：方法：对在白沙瓦肖卡特-卡努姆纪念癌症医院中心接受不同类型成像检查的镇静患者的病历进行回顾性审查，以评估镇静的安全结果。过程变量包括术前评估、获得知情同意书、确认全麻（NPO）状态、术中监测、麻醉后护理室（PACU）交接和出院指导。监测的并发症包括心跳骤停、呼吸停止、缺氧、呼吸暂停和呕吐：结果：在我们的研究中，没有观察到患者发生呼吸或心血管骤停等重大不良事件。少数病例发生了轻微事件，特别是缺氧和呼吸暂停，所有这些都通过简单的操作得到了有效解决。然而，一名之前未确诊为阻塞性睡眠呼吸暂停的患者出现了上气道阻塞，导致手术不得不中止。随后，所有患者都从恢复区安全出院回家：结论：只要遵循医院的政策和程序，在放射科实施镇静是安全的。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.