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[麻醉中的仪器监测。1987年慕尼黑中欧大会期间快速电子数据处理调查结果]

[Instrumental monitoring in anesthesia. Results of a rapid electronic data processing survey at the time of the 1987 Central European Congress in Munich].

作者信息

Schwilden H, Stoeckel H, Kloos S

机构信息

Institut für Anästhesiologie, Rheinische Friedrich-Wilhelms-Universität Bonn.

出版信息

Anasth Intensivther Notfallmed. 1988 Oct;23(5):233-7.

PMID:3239725
Abstract

During the ZAK 1987 in Munich we performed a poll concerning monitoring during anaesthesia. 200 questionnaires could be evaluated. A majority of 2/3 rd monitored regularly blood pressure, ECG, FiO2, minute ventilation and ventilation pressure. These quantities were monitored independent of a presumably increasing anaesthesia risk associated with three clinical cases. Only blood pressure and ECG were considered as mandatory by a majority of 2/3 rd. Monitoring variables related more to the anaesthesia machine lide FiO2, minute ventilation, and ventilation pressure did not reach a 2/3 re majority. 78% detected at least once in their business life time a life threatening complication by monitoring devices earlier than by so called clinical signs. EEG and capnometer were the most frequent quoted monitors. Monitoring of neuromuscular blockade and intraoperative awareness was considered as a relevant problem only by 22%. 20% agreed to additional monitoring on the general ward while 2/3 rd disagreed.

摘要

在1987年于慕尼黑举行的ZAK会议期间,我们就麻醉期间的监测进行了一项民意调查。200份问卷可供评估。三分之二的多数人定期监测血压、心电图、吸入氧浓度(FiO2)、分钟通气量和通气压力。这些指标的监测与三种临床病例可能增加的麻醉风险无关。三分之二的多数人仅将血压和心电图视为必需监测项目。与麻醉机相关的监测变量,如吸入氧浓度、分钟通气量和通气压力,未达到三分之二的多数。78%的人在其职业生涯中至少有一次通过监测设备比通过所谓的临床体征更早地发现危及生命的并发症。脑电图仪和二氧化碳监测仪是被提及最多的监测设备。只有22%的人认为神经肌肉阻滞和术中知晓的监测是一个相关问题。20%的人同意在普通病房进行额外监测,而三分之二的人不同意。

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