医院手术室中 WALANT 手部手术的感染情况和患者满意度。

IF 1.8 Q2 ORTHOPEDICS
HAND Pub Date : 2024-11-05 DOI:10.1177/15589447241284814
Michaela J Derby, Kelly N McKnight, Robert E Van Demark
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引用次数: 0

摘要

背景:宽醒觉手部手术使许多手部手术从手术室转移到了小手术室,同时提高了效率,保证了安全,降低了患者和医院的成本。本研究旨在评估在社区医院手术室进行无止血带宽醒局部麻醉手术的患者满意度和术后并发症。研究方法共有 786 名患者在医院手术室接受了 948 例手部择期手术。手术结束后,对患者进行了满意度调查。手术后,对患者术后并发症(包括感染)进行了评估。使用 R 软件中的 Cochran-Armitage 检验分析了 8 个年龄组的术后感染率趋势:总感染率为 6.2%(n = 59)。所有感染均为表皮感染。腕管感染人数最多(n = 25),其次是扳机指(n = 8),以及扳机指和腕管合并感染(n = 7)。所有感染均采用抗生素和/或浸泡治疗。有三名患者需要返回手术室进行冲洗和清创。99%的患者表示手术室的体验比去看牙医更好或相同,会向朋友或家人推荐宽醒麻醉,并愿意再次接受手术。结论在医院手术室进行的宽醒手术感染率低,患者满意度高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infections and Patient Satisfaction in WALANT Hand Surgery in a Hospital Procedure Room.

Background: Wide-awake hand surgery has allowed many hand procedures to be moved out of the operating room and into minor procedure rooms while increasing efficiency, maintaining safety, and reducing both patient and hospital costs. The goal of this study was to evaluate patient satisfaction and postoperative complications of wide-awake local anesthesia with no tourniquet procedures performed in a community-based hospital procedure room. Methods: A total of 786 patients underwent 948 elective hand procedures in a hospital procedure room. At the conclusion of their surgeries, the patients were surveyed regarding their satisfaction. Following surgery, patients were evaluated for postoperative complications including infections. The trend in postoperative infection rates across 8 age groups was analyzed using a Cochran-Armitage test in R. Results: The overall infection rate was 6.2% (n = 59). All infections were superficial. Carpal tunnel had the highest number of infections (n = 25), followed by trigger finger (n = 8), and the combination trigger finger with carpal tunnel (n = 7). All infections were managed with antibiotics and/or soaks. Three patients did require a return to the operating room for irrigation and debridement. Ninety-nine percent of patients said the procedure room experience was better or the same as going to the dentist, would recommend wide-awake anesthesia to a friend or family member, and would undergo the procedure again. Conclusion: Wide-awake procedures performed in a hospital procedure room have low infection rates with high patient satisfaction.

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来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
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