全关节置换术术前保持腰麻安全,提高手术室效率。

Spencer S Schulte, Joshua E Simson, Richard L Purcell, James Esposito, Sarah Rabin, Gens P Goodman
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引用次数: 0

摘要

神经轴向麻醉(NA)已被证明是安全有益的患者接受全关节置换术(TJA)。目前还没有确定在手术室以外的地方进行脊髓麻醉(SA)是否安全。这是一项对2016年11月至2020年3月期间连续471例原发性tja的单一机构、单一外科医生的分析。比较并发症发生率、住院时间和处理方式。89%的tja是在NA下进行的。接受SA的患者比接受硬膜外麻醉的患者更不可能需要转换为全身麻醉(GA)(1.8%比14.4%,p < 0.001)。转换为GA需要12分钟的OR时间。SA房间时间平均比GA房间时间短13.4分钟(p < 0.001)。所有组的并发症发生率相似。在TJA术前等待区给予NA是安全的,可以缩短手术时间。[j] .外科骨科进展,34(1):001- 005,2025。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spinal Anesthesia Administered in Preoperative Holding for Total Joint Arthroplasty Is Safe and Improves Operating Room Efficiency.

Neuraxial anesthesia (NA) has been shown to be safe and beneficial for patients undergoing total joint arthroplasty (TJA). It has not been determined whether it is safe to perform spinal anesthesia (SA) in a location other than the operating room (OR). This is a single-institution, single-surgeon analysis of 471 consecutive primary TJAs performed from November 2016 to March 2020. Rate of complications, length of stay, and disposition were compared. Eighty-nine percent of TJAs were performed under NA. Those receiving SA were less likely to require conversion to general anesthesia (GA) than those receiving epidural anesthesia (1.8% vs. 14.4%, p < 0.001). Conversion to GA cost 12 minutes of OR time. SA room time averaged 13.4 minutes shorter than GA room time (p < 0.001). The rate of complications was similar for all groups. NA administered in the preoperative holding area for TJA is safe and improves OR time. (Journal of Surgical Orthopaedic Advances 34(1):001-005, 2025).

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