麻醉中的病人定位

IF 0.2 Q4 ANESTHESIOLOGY Anaesthesia and Intensive Care Medicine Pub Date : 2024-11-01 DOI:10.1016/j.mpaic.2024.08.003
Dominic O’Connor, Jeremy Radcliffe
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引用次数: 0

摘要

麻醉会抑制通常保护我们免受伤害和防止脆弱组织受损的各种保护机制。此外,麻醉和病人体位可能会对这些组织造成生理压力。病人在手术中经常需要采取一些在没有麻醉的情况下无法忍受的体位;这些体位可能会带来危险,从而导致伤害。麻醉时病人的体位是麻醉师需要考虑的一个重要问题,因为病人的体位会影响病人的生理反应,并可能对病人造成伤害。我们介绍了麻醉师在为手术患者定位时的注意事项。我们讨论了外科手术患者常用的体位,并介绍了与每种体位相关的挑战,这些挑战可能是身体上的,也可能是生理上的。人员配备和设备供应水平必须足以应对病人体位摆放的复杂性。麻醉师还需要考虑俯卧位或侧卧位时接触病人进行干预的相对限制。
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Patient positioning in anaesthesia
Anaesthesia inhibits a variety of the protective mechanisms usually in place to protect us from harm and prevent damage to vulnerable tissues. In addition, anaesthesia and patient positioning may impose physiological stresses on these tissues. Patients are often required to assume positions for surgery which would be intolerable without anaesthesia; these positions may introduce hazards which can lead to injury. Positioning of patients under anaesthesia is an important subject for anaesthetists to consider, since patient positioning has implications upon the patient’s physiological responses as well as potentially causing injury to the patient. We describe the considerations for the anaesthetist when positioning the surgical patient. We discuss the positions commonly used for surgical patients and relate the challenges associated with each of these positions, challenges which can be physical as well as physiological. Staffing and equipment provision levels must be adequate to cope with the complexity predicted in positioning an individual patient. The anaesthetist also needs to consider the relatively restricted access to the patient for intervention when in the prone or lateral positions.
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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
152
期刊介绍: Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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