简要报告：美国产科单位中脂乳剂的供应情况。
Brief report: Availability of lipid emulsion in United States obstetric units.
机构信息
Department of Anesthesiology and Center for Healthcare Equity/Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, and Department of Anesthesiology, University of Illinois Hospital and Health Science System, 251 E. Huron St., F5-704, Chicago, IL 60611, USA.
出版信息
Anesth Analg. 2013 Feb;116(2):406-8. doi: 10.1213/ANE.0b013e3182713b61. Epub 2012 Dec 24.
BACKGROUND
Lipid emulsion is recommended in the guidelines for the management of local anesthetic systemic toxicity. In this study, we sought to identify the current level of lipid emulsion availability in U.S. obstetric units.
METHODS
A survey was developed addressing lipid emulsion availability and sent to U.S. obstetric anesthesia directors in June 2011. Univariate statistics were used.
RESULTS
The response rate was 69%. Lipid emulsion was available in 88% of the units (95% confidence interval, 73%-94%). At least 95% of respondents had lipid emulsion available in <30 minutes (100% of n=68).
CONCLUSIONS
U.S. academic obstetric anesthesia units are equipped to administer lipid emulsion in the setting of local anesthetic systemic toxicity.
背景
脂质乳剂在局部麻醉药全身毒性管理指南中被推荐使用。在这项研究中，我们试图确定美国产科单位中脂质乳剂的现有供应水平。
方法
我们于 2011 年 6 月制定了一份关于脂质乳剂供应情况的调查问卷，并分发给美国产科麻醉主任。使用单变量统计方法。
结果
应答率为 69%。88%的单位有脂质乳剂（95%置信区间，73%-94%）。至少 95%的应答者可在<30 分钟内获得脂质乳剂（n=68 中的 100%）。
结论
美国学术产科麻醉单位具备在局部麻醉药全身毒性情况下使用脂质乳剂的能力。
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