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European Journal of Anaesthesiology Intensive Care最新文献

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General anaesthesia for nonobstetric surgery during pregnancy 妊娠期非产科手术的全身麻醉
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000003
T. Bleeser, Janine C Vally, M. Van de Velde, S. Rex, S. Devroe
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引用次数: 3
Environmental sustainability in the operating room 手术室的环境可持续性
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000025
P. González-Pizarro, Susanne Koch, J. Muret, Alexandra Trinks, L. Brazzi, F. Reinoso-Barbero, J. Díez Sebastián, Michel MRF Struys
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引用次数: 0
Experiences and perspectives of adults on using opioids for pain management in the postoperative period 成人术后使用阿片类药物治疗疼痛的经验和观点
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000024
D. M. Aljohani, Nabat Almalki, R. Adam, P. Forget
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引用次数: 0
Non-invasive continuous cardiac output monitoring in thoracic cancer surgery 无创连续心输出量监测在胸部肿瘤手术中的应用
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000006
J. Fellahi, Paul Abraham, Nicolas Tiberghien, Clément Coelembier, J. Maury, K. Bendjelid
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引用次数: 1
The role of gastric ultrasound in anaesthesia for emergency surgery 胃超声在急诊手术麻醉中的作用
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000027
Vincent Godschalx, M. Vanhoof, F. Soetens, P. Van de Putte, A. Hadžić, M. Van de Velde, I. Van Herreweghe
The timing and technique of anaesthesia are challenging in patients with a history of recent food intake. The presence of gastric contents increases the risk of aspiration, potentially resulting in acute lung injury, pneumonia, or death. Delayed gastric emptying complicates the estimation of aspiration risk. Surprisingly, there are no fasting guidelines for emergency surgery. Point-of-care gastric ultrasound is a time-efficient, cost-efficient and accurate bedside tool with which to estimate residual gastric content and to guide decision-making in airway management and timing of general anaesthesia. This review summarises the prevailing concepts of ultrasound-guided gastric content assessment for emergency surgery. Medline and Embase databases were searched for studies using ultrasound for the evaluation of gastric content in adults scheduled for emergency surgery. Five prospective observational studies representing 793 emergency surgery patients showed that the incidence of ‘full stomach’ was between 18 and 56% at the time of induction. Risk factors for a full stomach before emergency surgery were abdominal or gynaecological/obstetric surgery, high body mass index and morphine consumption. No correlation between preoperative fasting time and the presence of a full/empty stomach was found. No deaths due to aspiration were reported. The preoperative presence of gastric content before emergency surgery is high and the estimates used for clinical management are unreliable. This review demonstrates that gastric ultrasound is a valuable tool for evaluating gastric content. A flow chart for medical decision-making using gastric ultrasound before emergency surgery was developed to assist in clinical decision-making. The validity and practical applicability should be assessed in future studies.
对于近期有食物摄入史的患者,麻醉的时机和技术具有挑战性。胃内容物的存在增加误吸的危险,可能导致急性肺损伤、肺炎或死亡。胃排空延迟使误吸风险的估计复杂化。令人惊讶的是,急诊手术没有禁食指南。即时胃超声是一种省时、经济、准确的床边工具,可用于估计胃残留内容物,并指导气道管理和全身麻醉时机的决策。本文综述了超声引导下急诊手术胃内容物评估的流行概念。在Medline和Embase数据库中检索了使用超声评估急诊手术成人胃内容物的研究。涉及793例急诊手术患者的5项前瞻性观察研究表明,诱导时“胃饱”的发生率在18%至56%之间。急诊手术前胃饱的危险因素是腹部或妇科/产科手术、高体重指数和吗啡消耗。术前禁食时间与有无饱/空胃之间没有相关性。没有因误吸而死亡的报告。急诊手术前胃内容物的术前存在是高的,用于临床管理的估计是不可靠的。本文综述表明,胃超声是评估胃内容物的一种有价值的工具。建立了急诊手术前胃超声医疗决策流程图,以辅助临床决策。在今后的研究中,应进一步评估其有效性和实用性。
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引用次数: 0
‘Do-not-intubate’ orders in patients assisted by noninvasive respiratory support for acute hypoxaemic failure caused by coronavirus disease 2019; a systematic review and meta-analysis 2019冠状病毒病引起的急性低氧血症衰竭患者在无创呼吸支持辅助下的“不插管”指令系统回顾和荟萃分析
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000018
G. Cammarota, T. Esposito, Rachele Simonte, A. Messina, Maurizio Cecconi, R. Vaschetto, L. Vetrugno, P. Navalesi, D. Azzolina, C. Robba, P. Pelosi, F. Longhini, S. Maggiore, E. De Robertis
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引用次数: 2
The use of capnography for real-time monitoring of mask ventilation during induction of general anaesthesia 全麻诱导过程中面罩通气实时监测的应用
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000009
Taiichiro Hayashida, N. Nozaki-Taguchi, Shin Sato, Takumi Meguro, Y. Sato, S. Isono
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引用次数: 0
Postoperative delirium: identifying the patient at risk and altering the course 术后谵妄:识别病人的危险并改变病程
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000022
D. Hoogma, K. Milisen, S. Rex, L. Al Tmimi
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引用次数: 1
Perioperative continuous body weight measurements with load cells under the bed legs in patients undergoing abdominal surgery 腹部手术患者床腿下称重传感器围手术期体重连续测量
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000028
Kyongsuk Son, Kentaroh Tarao, Yuki Hateruma, N. Nozaki-Taguchi, Y. Sato, S. Isono
{"title":"Perioperative continuous body weight measurements with load cells under the bed legs in patients undergoing abdominal surgery","authors":"Kyongsuk Son, Kentaroh Tarao, Yuki Hateruma, N. Nozaki-Taguchi, Y. Sato, S. Isono","doi":"10.1097/ea9.0000000000000028","DOIUrl":"https://doi.org/10.1097/ea9.0000000000000028","url":null,"abstract":"","PeriodicalId":300330,"journal":{"name":"European Journal of Anaesthesiology Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115559278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient blood management in the ICU ICU患者血液管理
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000002
V. Neef, Lea-Valeska Blum, L. Hof, S. Choorapoikayil, Kira Kieserling, P. Meybohm, A. Steinbicker, K. Zacharowski, F. Piekarski
{"title":"Patient blood management in the ICU","authors":"V. Neef, Lea-Valeska Blum, L. Hof, S. Choorapoikayil, Kira Kieserling, P. Meybohm, A. Steinbicker, K. Zacharowski, F. Piekarski","doi":"10.1097/ea9.0000000000000002","DOIUrl":"https://doi.org/10.1097/ea9.0000000000000002","url":null,"abstract":"","PeriodicalId":300330,"journal":{"name":"European Journal of Anaesthesiology Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126677232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
European Journal of Anaesthesiology Intensive Care
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