State-of-the-art anesthesia practices: a comprehensive review on optimizing patient safety and recovery.

IF 1.8 3区 医学 Q2 SURGERY BMC Surgery Pub Date : 2025-01-20 DOI:10.1186/s12893-025-02763-6
Guolu Fu, Lili Xu, Huaqing Chen, Jinping Lin
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Abstract

Objective: This review explores recent advancements in anesthesia care, focusing on the integration of innovative practices to enhance patient outcomes across the perioperative period.

Methods: Following the framework of Whitmore and Knafl, we systematically searched six databases (PubMed, Google Scholar, EMBASE, CINAHL, OVID, and Cochrane Library) for studies published from January 2020 to January 2024, relating to advancements in anesthesia care, best practice implementation, and patient outcomes. After independent screening and data extraction by two reviewers, the review focuses on innovations in anesthetic drugs, monitoring technologies, anesthesia techniques, and evidence-based practices in anesthesia and clinical guidelines.

Results: Of the 25,984 studies retrieved, 26 met inclusion criteria. Recent developments in anesthetic drugs have improved safety and efficacy, reducing complications. Advanced monitoring devices, such as multiparameter and brain function monitors, have enhanced patient safety through real-time assessments. Innovations in regional anesthesia and ultrasound-guided nerve blocks have led to better pain management, reduced recovery time, and minimized morbidity. Additionally, evidence-based practices like comprehensive preoperative assessment, patient education, and multidisciplinary teamwork significantly improved patient outcomes.

Conclusion: Integrating the latest innovations and best practices in anesthesia care is essential for optimizing patient outcomes. Ongoing research and adoption of advanced technologies are crucial to addressing current challenges and enhancing anesthesia quality. This review emphasizes the importance of a holistic approach from preoperative preparation to postoperative recovery to achieve optimal patient outcomes.

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最先进的麻醉实践:优化患者安全和恢复的全面审查。
目的:本文综述了麻醉护理的最新进展,重点介绍了创新实践的整合,以提高围手术期患者的预后。方法:遵循Whitmore和Knafl的框架,我们系统地检索了6个数据库(PubMed、谷歌Scholar、EMBASE、CINAHL、OVID和Cochrane Library),检索了2020年1月至2024年1月期间发表的有关麻醉护理进展、最佳实践实施和患者预后的研究。经过两位审稿人的独立筛选和数据提取,本综述重点关注麻醉药物、监测技术、麻醉技术以及麻醉循证实践和临床指南方面的创新。结果:在检索到的25,984项研究中,26项符合纳入标准。麻醉药物的最新发展提高了安全性和有效性,减少了并发症。先进的监测设备,如多参数和脑功能监测仪,通过实时评估提高了患者的安全性。在区域麻醉和超声引导神经阻滞的创新导致更好的疼痛管理,减少恢复时间,并尽量减少发病率。此外,综合术前评估、患者教育和多学科团队合作等循证实践显著改善了患者的预后。结论:结合麻醉护理的最新创新和最佳实践对优化患者预后至关重要。持续的研究和采用先进技术对于解决当前的挑战和提高麻醉质量至关重要。这篇综述强调了从术前准备到术后恢复的整体方法的重要性,以达到最佳的患者结果。
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来源期刊
BMC Surgery
BMC Surgery SURGERY-
CiteScore
2.90
自引率
5.30%
发文量
391
审稿时长
58 days
期刊介绍: BMC Surgery is an open access, peer-reviewed journal that considers articles on surgical research, training, and practice.
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