Revista Espanola de Anestesiologia y Reanimacion最新文献_第2页

Más allá del cumplimiento: riesgo del paciente, adherencia a ERAS y resultados postoperatorios mediante aprendizaje automatizado explicable 通过可解释的自动化学习，超越依从性：患者风险、ERAS依从性和术后结果

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501990

J. Ripollés-Melchor , Á.V. Espinosa , A. Abad-Motos , A. Abad-Gurumeta , P. Galán-Menéndez , A. Zorrilla-Vaca , R. Navarro-Pérez , A. Ruiz-Escobar , J. Fernanz-Antón , A. Suárez-de-la-Rica , C. Aldecoa , el Grupo de investigadores de EuroPOWER

Background

Enhanced Recovery After Surgery (ERAS) protocols improve outcomes after colorectal surgery, but adherence remains variable and may interact with patient risk. Traditional compliance scores lack granularity to explore these dynamics. We aimed to use interpretable machine learning to quantify the contribution of individual ERAS items and clinical features to postoperative complications, and to identify data-driven ERAS phenotypes.

Methods

This was a secondary analysis of the EuroPOWER cohort (NCT04889798), a prospective European study including 2,841 adults undergoing elective colorectal surgery. Two Extreme Gradient Boosting models were trained to predict in-hospital complications: a complete model (clinical variables + 23 ERAS items) and an ERAS-only model. Both were interpreted using Shapley Additive Explanations (SHAP). In the complete model, SHAP matrices were clustered to derive phenotypes. Feature importance, adherence, and complication rates were compared descriptively.

Results

The complete model achieved an AUC of 0.627. SHAP analysis identified frailty, ASA class, BMI, and age as leading predictors, followed by early mobilisation, nutritional care, and thromboprophylaxis. Three phenotypes were identified, with complication rates of 17.7%, 27.1%, and 41.1%, corresponding to robust, intermediate, and frail profiles. The ERAS-only model showed similar discrimination (area under the curve 0.642), but reduced interpretability. SHAP redundancy analysis supported inclusion of all ERAS items.

Conclusions

The clinical effect of ERAS adherence appears to be modulated by baseline vulnerability and implementation patterns. SHAP-based models enable transparent risk attribution and phenotype identification, supporting more targeted ERAS strategies and future development of automated quality monitoring tools.

增强术后恢复（ERAS）方案可改善结直肠手术后的预后，但依从性仍存在差异，并可能与患者风险相互作用。传统的遵从性评分缺乏探究这些动态的粒度。我们的目标是使用可解释的机器学习来量化单个ERAS项目和临床特征对术后并发症的贡献，并确定数据驱动的ERAS表型。方法：这是EuroPOWER队列（NCT04889798）的二次分析，这是一项前瞻性欧洲研究，包括2,841名接受选择性结直肠手术的成年人。训练两个极端梯度增强模型来预测院内并发症：一个完整模型（临床变量+ 23个ERAS项目）和一个仅ERAS模型。两者均采用Shapley加性解释（SHAP）进行解释。在完整的模型中，SHAP矩阵被聚类以获得表型。描述性地比较了特征重要性、依从性和并发症发生率。结果完整模型的AUC为0.627。SHAP分析确定虚弱、ASA等级、BMI和年龄是主要预测因素，其次是早期活动、营养护理和血栓预防。确定了三种表型，并发症发生率分别为17.7%，27.1%和41.1%，对应于健壮，中等和虚弱的表型。ERAS-only模型具有相似的判别性（曲线下面积0.642），但可解释性降低。SHAP冗余分析支持纳入所有ERAS项目。结论ERAS依从性的临床效果似乎受到基线脆弱性和实施模式的调节。基于shap的模型能够实现透明的风险归因和表型识别，支持更有针对性的ERAS策略和未来自动化质量监控工具的发展。

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引用次数: 0

¿Perdido en la presentación? Investigación del sesgo de publicación en anestesia regional: estudio de un caso piloto de bloqueo en el plano del músculo erector de la columna 迷失在演示？区域麻醉发表偏倚研究：立柱勃起肌阻塞试点案例研究

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501995

A. De Cassai , B. Dost , Y.E. Karapinar , M.A. Yilmaz , E.I. Turan , E. Sarikaya Ozel

Background

The Erector Spinae Plane (ESP) block is a regional anaesthesia technique with a growing range of clinical applications due to its short learning curve, low complication rate, and effectiveness. However, publication bias can distort the perceived efficacy of interventions, especially when studies with negative or inconclusive results remain unpublished. The real extent of publication bias in ESP-related clinical research currently remains unclear.

Methods

We searched ClinicalTrials.gov on 2 February 2025 using the terms «Erector Spinae Plane Block» and «ESP block», and obtained 671 records. After excluding duplicates, irrelevant, and ongoing studies, 500 records were eventually included. Study characteristics and publication status were determined using a multi-step search strategy that included PubMed®, Scopus®, Embase®, and Central®. Data were analysed using appropriate statistical tests on R (v3.4.0).

Results

Of the 500 studies included, 361 (72.2%) were complete, 102 (20.4%) had unknown status, and 37 (7.4%) had been suspended, terminated, or withdrawn. Only 211 studies (42.2%) were published, and included data from 14374 of 32,600 intended patients. Published studies were registered significantly earlier than unpublished ones (median year 2020 vs 2021; P=.004). No significant differences were found between published and unpublished studies in terms of main outcome, continent, surgical setting, study design, or sample size.

Conclusions

A substantial proportion of ESP block studies remain unpublished, indicating potential publication bias. Although earlier registration was associated with publication, other study characteristics were not. These findings highlight the need for increased transparency and for clinical trial results to be published regardless of outcome in order to ensure that the evidence base is unbiased.

竖脊机（ESP）阻滞是一种局部麻醉技术，由于其学习曲线短、并发症发生率低、效果好等优点，在临床应用中越来越广泛。然而，发表偏倚会扭曲干预措施的感知效果，特别是当负面或不确定结果的研究尚未发表时。esp相关临床研究中发表偏倚的真实程度目前尚不清楚。方法我们于2025年2月2日在ClinicalTrials.gov网站上搜索“Erector Spinae Plane Block”和“ESP Block”，获得671条记录。在排除重复、不相关和正在进行的研究后，最终纳入了500条记录。使用包括PubMed®、Scopus®、Embase®和Central®在内的多步搜索策略确定研究特征和发表状态。使用R （v3.4.0）对数据进行适当的统计检验。结果纳入的500项研究中，361项（72.2%）研究完成，102项（20.4%）研究状态未知，37项（7.4%）研究暂停、终止或撤回。仅发表了211项研究（42.2%），其中包括来自32,600名预期患者中的14374名患者的数据。已发表研究的注册时间明显早于未发表研究（中位数为2020年vs 2021年；P= 0.004）。已发表的和未发表的研究在主要结局、地区、手术环境、研究设计或样本量方面没有发现显著差异。结论：大量ESP块研究仍未发表，表明存在潜在的发表偏倚。虽然早期注册与发表相关，但其他研究特征与发表无关。这些发现强调了提高透明度的必要性，以及无论结果如何都应公布临床试验结果的必要性，以确保证据基础的公正。

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引用次数: 0

Implante ecoguiado de un neuroestimulador periférico en el canal de torsión radial. A propósito de un caso 在径向扭转管中植入外周神经刺激器。关于一个案例

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501982

J. Mateos-Granados , L.E. Fernández-Rodríguez , M.M. Hernández-García , F. Martínez-Martínez , V. Roqués-Escolar

Peripheral neurostimulators may be used for treatment of neuropathic pain, and their use has increased with the use of ultrasound for its placement. Superficial radial nerve neuropathy is common, and distal humeral implants have been described with adequate pain relief, but not all patients present a positive test block in this site, which is needed for the implant. We present a case of ultrasound-guided implant of a peripheral neurostimulator in the radial spiral groove as treatment of superficial radial nerve neuropathy with adequate pain relief, although after one year the electrode suffered a fracture and had to be removed and reimplanted surgically. This new technique may be an effective alternative in selected patients, but further studies are needed.

外周神经刺激器可用于神经性疼痛的治疗，其使用随着超声放置的使用而增加。桡骨浅神经病变是常见的，肱骨远端植入物有足够的疼痛缓解，但并非所有患者在该部位出现阳性测试阻滞，这是植入物所需要的。我们报告一例超声引导下桡骨螺旋槽内植入外周神经刺激器治疗桡骨浅表神经病变的病例，尽管一年后电极发生骨折，不得不通过手术切除并重新植入。这项新技术可能对某些患者是有效的替代方法，但还需要进一步的研究。

引用次数: 0

De la atonía uterina al SHUa: un caso de microangiopatía trombótica posparto 从子宫松弛到SHUa：一个产后血栓形成的微血管病病例

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501983

J.M. Blanco Flores, A.M. Oubiña López, A. San Antonio Gil, M. Reina Molina, P. Ramos Curado, M. Echevarría Moreno

We report the case of a 42-year-old primiparous woman who developed severe postpartum hemorrhage due to uterine atony after an instrumental delivery, requiring massive transfusion and Bakri balloon placement. Despite initial hemodynamic stabilization, she progressed to persistent anuria and acute kidney injury. Imaging revealed bilateral renal cortical necrosis. In the presence of anemia, thrombocytopenia, complement consumption, and ADAMTS13 activity >10%, atypical hemolytic uremic syndrome (aHUS) was suspected. Treatment with eculizumab and renal replacement therapy was initiated, achieving good hematologic response.

This case highlights a rare postpartum complication in which early suspicion enables prompt targeted therapy. Anesthesiologists play a key role in initial hemodynamic management and in identifying warning signs suggestive of thrombotic microangiopathies.

我们报告的情况下，42岁的产妇谁发展严重的产后出血，由于子宫张力的工具分娩后，需要大量输血和巴克利球囊安置。尽管最初血流动力学稳定，但她进展为持续无尿和急性肾损伤。影像学显示双侧肾皮质坏死。在存在贫血、血小板减少、补体消耗和ADAMTS13活性>；10%的情况下，怀疑是非典型溶血性尿毒症综合征（aHUS）。开始了eculizumab和肾脏替代治疗，获得了良好的血液学反应。这个病例强调了一种罕见的产后并发症，早期的怀疑使及时的靶向治疗成为可能。麻醉师在初始血流动力学管理和识别提示血栓性微血管病变的警告信号中发挥关键作用。

引用次数: 0

Valor predictivo de la pérdida de tono muscular y el índice de perfusión para el éxito del bloqueo del plexo braquial supraclavicular: estudio piloto 肌张力损失的预测值和输液率对闭塞闭塞成功的影响：一项试点研究

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501986

M.A. Hernández-Govea , G.F. Álvarez-Orenday , M. Guerra-Hernández , V.B. Kway , A.M. Castro-Alemán

Background

Currently, no standardized tool accurately predicts the success of supraclavicular brachial plexus block (SBPB) in the shortest time possible. This study aimed to evaluate the early predictive value of muscle tone loss and perfusion index in predicting SBPB success. This is the first study to report the use of this device for objective assessment of nerve block success.

Methods

A prospective observational pilot study was conducted at”Dr. Ignacio Morones Prieto” Central Hospital, Mexico, involving 33 patients (ASA 1, 2, 3) requiring surgery on the distal third of the upper limb with ultrasound-guided SBPB. Exclusion criteria included infections at the puncture site, local anesthetic allergies, coagulopathies, restrictive pulmonary pathologies, oxygen dependency, brachial plexus radiculopathy, and uncontrolled diabetes. The motor block was assessed with a conductive ink flexion sensor (FS), and the sympathetic block was evaluated with perfusion index via pulse oximeter at 3, 5, 10, and 15 minutes. Block success was defined as a Numerical Rating Scale (NRS) for pain < 2 during surgical stimulation. Statistical comparisons were made between successful and unsuccessful blocks, with ROC curve analysis identifying optimal cutoff points for predictive variables.

Results

Of the 33 patients, 24 had a successful block, and 9 did not. At 5 minutes, a PI >196.07 showed 100% sensitivity, 87.5% specificity, and AUC 92% (p < 0.001). A 27.38% loss in muscle strength showed 100% sensitivity, 87.5% specificity, and AUC 95% (p < 0.001). Combined, these parameters had a 100% predictive value (p < 0.005).

Conclusion

PI and muscle strength loss are reliable early predictors of SBPB success, offering a valuable tool for optimizing anesthetic strategies.

目前，没有标准化的工具能准确预测锁骨上臂丛阻滞（SBPB）在最短时间内的成功。本研究旨在评价肌张力丧失和灌注指数对SBPB成功的早期预测价值。这是首次报道使用该装置客观评估神经阻滞成功的研究。方法采用前瞻性观察性初步研究。Ignacio Morones Prieto中心医院，墨西哥，涉及33例患者（ASA 1,2,3），需要在超声引导下的上肢远端三分之一处进行SBPB手术。排除标准包括穿刺部位感染、局部麻醉过敏、凝血功能障碍、限制性肺病变、氧依赖、臂丛神经根病变和未控制的糖尿病。在3、5、10和15分钟时，用导电墨水挠曲传感器（FS）评估运动阻滞，用脉搏血氧仪灌注指数评估交感阻滞。阻滞成功被定义为手术刺激期间疼痛的数值评定量表（NRS）。对成功和不成功的区块进行统计比较，通过ROC曲线分析确定预测变量的最佳截止点。结果33例患者中，24例阻滞成功，9例阻滞失败。5分钟时，PI >；196.07灵敏度为100%，特异性为87.5%，AUC为92% （p < 0.001）。27.38%的肌力损失灵敏度为100%，特异性为87.5%，AUC为95% （p < 0.001）。综合起来，这些参数具有100%的预测值（p < 0.005）。结论pi和肌力损失是SBPB成功的可靠早期预测指标，为优化麻醉策略提供了有价值的工具。

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引用次数: 0

Efecto de la anestesia libre de opioides en el dolor postoperatorio en cirugía ortopédica: revisión sistemática y metaanálisis de ensayos controlados aleatorizados 无阿片麻醉对骨科手术术后疼痛的影响：随机对照试验的系统综述和荟萃分析

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501989

A. Bachtiar Effendi , F. Cahya Ramadhan , G.D. Ica Manohara , R.M. Laksono

Background

Opioid-free anaesthesia (OFA) is increasingly recognized as a perioperative approach that may offer effective pain control with reduced risk of adverse effects. Considering that orthopaedic surgeries often lead to at least moderate postoperative pain, we assessed the effectiveness and safety of OFA in orthopaedic procedures.

Methods

We searched PubMed, ScienceDirect, ProQuest, and EuropePMC for relevant randomised controlled trials (RCT) and supplemented the data with citation tracking. Data were analysed using RevMan version 5.4. The risk of bias and the certainty of evidence were evaluated using the Cochrane Risk of Bias 2.0 tool and the GRADE approach. The study was registered on PROSPERO (CRD420251048348).

Results

Seven RCTs involving 408 patients were included. The intensity of postoperative pain measured in the post-anaesthesia care unit (mean difference [MD]: −0.08), at 24 hours (MD: −0.06), and at 48 hours (MD: −0.26) was not statistically significant. OFA reduced the risk of postoperative nausea and vomiting (PONV) (RR: 0.37; P = .00001) and prolonged the time to first request for analgesia (MD: 25.60 minutes; P = .00001). Twenty-four-hour morphine consumption was comparable across groups (MD: −0.28; P = .76). OFA reduced the incidence of intraoperative hypotension (risk ratio [RR]: 0.56; P = .02) but increased the risk of intraoperative bradycardia (RR: 1.86; P = .04).

Conclusions

In orthopaedic surgery, OFA provides comparable pain control to opioid-based anaesthesia. It also reduced the incidence of postoperative nausea and vomiting and intraoperative hypotension, and prolonged the time to the first request for analgesia (statistically, but not clinically). However, the potential risk of bradycardia should be considered when using dexmedetomidine-based analgesics.

无阿片类药物麻醉（OFA）越来越被认为是一种围手术期的方法，可以有效地控制疼痛，降低不良反应的风险。考虑到骨科手术经常导致至少中度的术后疼痛，我们评估了OFA在骨科手术中的有效性和安全性。方法检索PubMed、ScienceDirect、ProQuest和EuropePMC，检索相关的随机对照试验（RCT），并进行引文跟踪。数据采用RevMan 5.4进行分析。使用Cochrane risk of bias 2.0工具和GRADE方法评估偏倚风险和证据的确定性。该研究已在PROSPERO注册（CRD420251048348）。结果纳入7项随机对照试验，共408例患者。麻醉后护理单元测量的术后疼痛强度（平均差值[MD]:−0.08）、24小时（MD:−0.06）和48小时（MD:−0.26）无统计学意义。OFA降低了术后恶心和呕吐（PONV）的风险（RR: 0.37; P = 0.00001），延长了首次请求镇痛的时间（MD: 25.60分钟；P = 0.00001）。两组间24小时吗啡用量具有可比性（MD: - 0.28; P = 0.76）。OFA降低了术中低血压的发生率（危险比[RR]: 0.56; P = 0.02），但增加了术中心动过缓的风险（危险比[RR]: 1.86; P = 0.04）。结论在骨科手术中，OFA的镇痛效果与阿片类药物麻醉相当。降低了术后恶心呕吐和术中低血压的发生率，延长了第一次要求镇痛的时间（统计上，但临床上没有）。然而，当使用右美托咪定镇痛药时，应考虑心动过缓的潜在风险。

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引用次数: 0

Análogos del receptor GLP1 y consideraciones en el manejo perioperatorio: una revisión narrativa GLP1受体的类似物和术后管理方面的考虑因素：叙述综述

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501985

A. Vázquez Lima, M. Vidal Lopo

Glucagon-like peptide type 1 analogues (aGLP1) are a group of drugs capable of stimulating the GLP1 receptor, a key peptide in glycaemic homeostasis through its actions at the pancreatic and gastric level.

This narrative review summarises the possible implications of the perioperative use of this group of drugs. The pancreatic and extrapancreatic effects of aGLP1s determine their anaesthetic implications and perioperative management. The repercussions of their long-term suspension and their effects on the immune system have not yet been sufficiently clarified. The perioperative use of GLP1 agonists is associated with better glycaemic control without a significant increase in complications. However, their use involves a delay in gastric emptying dependent on multiple factors, which may increase the risk of bronchoaspiration.

At present, we can conclude that the perioperative maintenance of GLP1 agonists optimises glycaemic control and avoids disruptions to the potential benefits of treatment without demonstrating an increase in postoperative complications. Delayed gastric emptying and possible bronchoaspiration require measures to minimise risk and ensure patient safety.

胰高血糖素样肽1型类似物（aGLP1）是一组能够刺激GLP1受体的药物，GLP1受体是血糖稳态的关键肽，在胰腺和胃水平上起作用。这篇叙述性综述总结了围手术期使用这组药物的可能含义。aglp1的胰腺和胰腺外作用决定了其麻醉意义和围手术期处理。它们长期停用的影响及其对免疫系统的影响尚未得到充分阐明。围手术期使用GLP1激动剂与更好的血糖控制相关，而不会显著增加并发症。然而，它们的使用涉及依赖于多种因素的胃排空延迟，这可能增加支气管吸入的风险。目前，我们可以得出结论，GLP1激动剂的围手术期维持可以优化血糖控制，避免破坏治疗的潜在益处，而不会增加术后并发症。胃排空延迟和可能的支气管误吸需要采取措施将风险降至最低并确保患者安全。

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引用次数: 0

Respuesta a la Carta al Editor sobre «Dolor neuropático y crónico de nueva aparición en supervivientes de COVID-19 grave: análisis secundario del ensayo PAIN-COVID» 对致编辑的关于“严重2019冠状病毒病幸存者再次出现的慢性和神经疼痛：PAIN-COVID试验的二次分析”的信的回复

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501997

A. Ojeda, T. Cuñat, O. Comino-Trinidad, J. Aliaga, M. Arias, A. Calvo

引用次数: 0

Análogos GLP-1: el nuevo reto silencioso en la seguridad de la vía aérea GLP-1类比：航空安全的无声新挑战

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501991

M.A. Fernández-Vaquero , C.A. Puga-Carrasco , J.A. Sastre

引用次数: 0

Experiencia con la ecografía gástrica prequirúrgica como herramienta para determinar el estómago lleno en pacientes adultos sometidos a cirugía de urgencia 在成人急诊手术中使用术前胃超声作为确定饱腹感的工具的经验

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion

Pub Date : 2026-01-01 DOI: 10.1016/j.redar.2025.501994

J.C. Villalba , J.M. Quintero , C.E. Melo , D.F. Reyes , J.P. Tovar , A. Perlas

Introduction

Pulmonary aspiration of gastric contents is a major perioperative complication with a mortality rate of 75% and severe morbidity of 14%. The risk increases in emergency surgeries and gastric ultrasound may be useful to establish gastric content and inform aspiration risk assessment. In this study we describe the degree of agreement between pre-surgical clinical evaluation and gastric ultrasound, in the identification of full stomach in adult patients requiring emergency surgery.

Materials and methods

Descriptive observational cross-sectional study of diagnostic tests. The analysis included all adult patients with pathologies requiring emergency surgeries between August 2023 and May 2024 at Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Colombia. The Kappa index was calculated between the 2 tests (clinical evaluation vs. gastric ultrasound), and the level of agreement between them was determined.

Results

A total of 57 patients were included in the study. Age, median (range): 51 (18-83), of whom 64.9% were male. The main types of surgeries were general surgery (80.7%), followed by trauma (19.3%). The majority of the population was classified as ASA 3. The most common comorbidities were arterial hypertension and type 2 diabetes mellitus. Fasting time ranged from 12 to 24 h. There was a high level of agreement among the examiners for determining a full stomach using point-of-care gastric ultrasound, with a concordance level of 0.88 (p < 0.001). In contrast, there was a low level of agreement between the clinical and sonographic evaluation for gastric content assessment, with a concordance level of −0.03 (p = 0.768).

Conclusion

Our results suggest that gastric ultrasound has a high level of reproducibility in the emergency surgical setting and can provide information beyond the clinical assessment.

胃内容物肺误吸是围手术期的主要并发症，死亡率为75%，严重的发病率为14%。急诊手术和胃超声可能有助于确定胃内容物并为误吸风险评估提供信息。在这项研究中，我们描述了术前临床评估和胃超声之间的一致程度，在确定成年患者的胃饱需要紧急手术。材料和方法诊断试验的描述性观察性横断面研究。该分析包括2023年8月至2024年5月期间在哥伦比亚内华达Hernando Moncaleano Perdomo大学医院就诊的所有需要急诊手术的成年患者。计算两项试验（临床评价与胃超声）之间的Kappa指数，并确定两者之间的一致程度。结果共纳入57例患者。年龄中位数（范围）：51岁（18-83岁），其中64.9%为男性。手术类型以普通外科为主（80.7%），其次为创伤外科（19.3%）。大多数人被归类为ASA 3。最常见的合并症是动脉高血压和2型糖尿病。禁食时间从12小时到24小时不等。检查者在使用即时胃超声检查确定胃是否满方面有高度的一致性，一致性水平为0.88 （p < 0.001）。相比之下，胃内容物的临床评估与超声评估之间的一致性较低，一致性水平为- 0.03 （p = 0.768）。结论胃超声在急诊手术环境中具有较高的再现性，可以提供临床评估之外的信息。

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引用次数: 0