脱位全髋关节置换术闭合复位的镇痛和麻醉:一项范围审查方案。

IF 1.9 4区 医学 Q2 ANESTHESIOLOGY
Rasmus Linnebjerg Knudsen, Rikke Helene Frølund Bjulf, Aurelien-Xuan Rosendal Bahuet, Mathias Therkel Steensbæk, Anne-Sofie Linde Jellestad, Kai Henrik Wiborg Lange, Lars Hyldborg Lundstrøm, Anders Kehlet Nørskov
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引用次数: 0

摘要

背景:全髋关节置换术是一种常见的外科手术,但脱位仍然是一个重要的并发症,通常需要闭合复位。目前全髋关节置换术闭式复位的麻醉方法差异很大,关于不同麻醉和镇痛方案的有效性、安全性和成本效益的证据有限。方法:本综述遵循乔安娜布里格斯研究所(JBI)指南和PRISMA-ScR框架。系统的检索将在主要数据库中进行,以确定麻醉入路对脱位全髋关节置换术闭合复位的研究。合格的研究将包括成人患者,并关注成功率、并发症、患者满意度和手术效率等结果。数据将以叙述和描述的方式提取和合成。结果:本综述将对麻醉和镇痛方案的现有证据进行梳理,包括其成功率、相关并发症和成本效益。它还将强调文献中的差距和不同背景下实践中的差异。结论:通过总结现有证据和识别研究空白,本综述旨在为临床实践提供信息并指导未来的研究,最终提高脱位全髋关节置换术闭合复位麻醉策略的安全性、有效性和效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analgesia and anesthesia for closed reduction of dislocated total hip arthroplasty: Protocol for a scoping review.

Background: Total hip arthroplasty is a common surgical procedure, but dislocation remains a significant complication often requiring closed reduction. Current anesthetic practices for closed reduction of total hip arthroplasty vary widely, and evidence on the efficacy, safety, and cost-effectiveness of different anesthetic and analgetic regimens is limited.

Methods: This scoping review follows the Joanna Briggs Institute (JBI) guidelines and PRISMA-ScR framework. A systematic search will be conducted in major databases to identify studies on anesthetic approaches for closed reduction of dislocated total hip arthroplasty. Eligible studies will include adult patients and focus on outcomes such as success rate, complications, patient satisfaction, and procedural efficiency. Data will be extracted and synthesized narratively and descriptively.

Results: The review will map the existing evidence on anesthetic and analgetic regimens, including their success rates, associated complications, and cost-effectiveness. It will also highlight gaps in the literature and variations in practice across different settings.

Conclusion: By summarizing current evidence and identifying research gaps, this scoping review aims to inform clinical practice and guide future studies, ultimately improving the safety, effectiveness, and efficiency of anesthetic strategies for closed reduction of dislocated total hip arthroplasties.

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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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