以患者为中心的麻醉精准护理--PC-square (PC)2方法。

IF 2.3 3区 医学 Q2 ANESTHESIOLOGY
Current Opinion in Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-01-22 DOI:10.1097/ACO.0000000000001343
Joana Berger-Estilita, Isabel Marcolino, Finn M Radtke
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引用次数: 0

摘要

综述的目的:本综述介绍了精准麻醉的概况,强调了量身定制和个性化的麻醉管理方法。其目的是阐明精准医学的原理、应用以及在麻醉领域的潜在进展。综述重点关注精准麻醉的现状、挑战和变革机遇:综述探讨了支持精准麻醉的证据,汲取了神经科学领域的见解。它探讨了术中高剂量阿片类药物与术后消耗量增加之间的相关性,强调了精准麻醉,尤其是通过安全脑计划(SBI)等举措,可以如何解决这些问题。SBI 代表着围术期护理中的多学科合作。SBI 促进了手术团队、麻醉师和其他医疗专业人员之间的有效沟通。摘要:精准麻醉为患者量身定制护理方案,将基因组学见解、个性化用药方案和先进的监测技术融为一体。从脑电图到脑/躯体血氧仪,这些方法都能提高精准度。标准化报告、患者报告结果、持续质量改进以及 SBI 等举措都有助于改善患者的治疗效果。以合作计划为基础的精准麻醉是加强围术期护理的一条大有可为的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-centered precision care in anaesthesia - the PC-square (PC) 2 approach.

Purpose of review: This review navigates the landscape of precision anaesthesia, emphasising tailored and individualized approaches to anaesthetic administration. The aim is to elucidate precision medicine principles, applications, and potential advancements in anaesthesia. The review focuses on the current state, challenges, and transformative opportunities in precision anaesthesia.

Recent findings: The review explores evidence supporting precision anaesthesia, drawing insights from neuroscientific fields. It probes the correlation between high-dose intraoperative opioids and increased postoperative consumption, highlighting how precision anaesthesia, especially through initiatives like Safe Brain Initiative (SBI), could address these issues. The SBI represents multidisciplinary collaboration in perioperative care. SBI fosters effective communication among surgical teams, anaesthesiologists, and other medical professionals.

Summary: Precision anaesthesia tailors care to individual patients, incorporating genomic insights, personalised drug regimens, and advanced monitoring techniques. From EEG to cerebral/somatic oximetry, these methods enhance precision. Standardised reporting, patient-reported outcomes, and continuous quality improvement, alongside initiatives like SBI, contribute to improved patient outcomes. Precision anaesthesia, underpinned by collaborative programs, emerges as a promising avenue for enhancing perioperative care.

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来源期刊
CiteScore
4.90
自引率
8.00%
发文量
207
审稿时长
12 months
期刊介绍: ​​​​​​​​Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.
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