术中高碳酸血症的危险因素及如何及时发现问题?高碳酸血症对患者术后苏醒的影响

PAIN, ANAESTHESIA & INTENSIVE CARE Pub Date : 2023-06-23 DOI:10.25284/2519-2078.2(103).2023.284634

A. Morenko, S. O. Dubrov

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引用次数: 0

摘要

摘要:本文讨论了术中高碳酸血症的发展及其与静脉(IV)镇静后患者延迟苏醒的关系，并保留了自主呼吸。本文就高碳酸血症的发生、发病机制以及在静脉麻醉中保留自主呼吸时患者监测的充分性进行了简要的文献综述。通过对这一主题的文献分析，我们发现监测的充分性研究不足，并且在接受深度程序性镇静并保留自主呼吸(PSR)的患者中，动脉血饱和度与二氧化碳(CO2)水平之间的相关性并不总是成正比的。因此，我们的目标是呈现我们自己的临床经验

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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INTRAOPERATIVE HYPERCAPNIA, RISK FACTORS AND HOW TO RECOGNIZE THE PROBLEM IN TIME? THE INFLUENCE OF HYPERCAPNIA ON THE POSTOPERATIVE AWAKENING OF THE PATIENT

Summary: This article addresses the issue of intraoperative development of hypercapnia and its correlation with delayed patient awakening following intravenous (IV) sedation with preserved spontaneous respiration. A brief literature review was conducted on the development, pathogenesis of hypercapnia, and adequacy of patient monitoring during IV analgosedation with preserved spontaneous respiration. Through the analysis of literature on this topic, we have found that the adequacy of monitoring is insufficiently studied, and the correlation between saturation and carbon dioxide (CO2) levels in arterial blood is not always proportional in patients undergoing deep procedural sedation with preserved spontaneous respiration (PSR). Therefore, we aim to present our own clinical experience

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PAIN, ANAESTHESIA & INTENSIVE CARE

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