Missant Carlo, Van de Velde Marc
Department of Anaesthesiology, University Hospitals Gasthuisberg, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium.
Curr Opin Anaesthesiol. 2004 Aug;17(4):323-7. doi: 10.1097/01.aco.0000137091.75602.34.
The purpose of this review is to provide information related to morbidity and mortality associated with anaesthesia outside the operating room.
There is an increasing demand for anaesthesia at remote locations. Because of its specific characteristics, resulting from the location and the patient, morbidity and mortality rates of remote location anaesthesia could differ from conventional operating room anaesthesia. However, no studies are currently available. On the basis of morbidity and mortality data from conventional operating room anaesthesia, we reached some important conclusions with regard to the safety of anaesthesia outside the operating room. A well-equipped anaesthesia machine, standard monitoring (electrocardiogram, oxygen saturation and non-invasive blood pressure), trained personnel and adequate planning should be standard for all out of the operating room procedures. When all these are in place, the incidence of morbidity or mortality should be comparable to that of anaesthesia provided in the operating room.
There is certainly a need for studies concerning morbidity and mortality at remote location anaesthesia. Special care for the prevention of hypothermia should be given to those patients undergoing long-lasting diagnostic procedures, e.g. magnetic resonance imaging scans or cardiological investigations.
本综述旨在提供与手术室以外麻醉相关的发病率和死亡率的信息。
偏远地区对麻醉的需求日益增加。由于其位置和患者所导致的特殊情况，偏远地区麻醉的发病率和死亡率可能与传统手术室麻醉有所不同。然而，目前尚无相关研究。基于传统手术室麻醉的发病率和死亡率数据，我们得出了一些关于手术室以外麻醉安全性的重要结论。配备完善的麻醉机、标准监测（心电图、血氧饱和度和无创血压）、训练有素的人员以及充分的准备计划应是所有手术室以外操作的标准配置。当所有这些条件都具备时，发病率或死亡率应与手术室麻醉相当。
显然需要开展关于偏远地区麻醉发病率和死亡率的研究。对于接受长时间诊断性检查（如磁共振成像扫描或心脏检查）的患者，应特别注意预防体温过低。
