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中国的神经肌肉阻滞剂与监测:当前管理的横断面调查

Neuromuscular Blocking Agents and Monitoring in China: A Cross-Sectional Survey of Current Management.

作者信息

Wu HaoTian, Lin ZengMao, Zhou RuiHao, Huang SuiSui, Chen LingJun, Su Yang, Cheng LuoNa, Zhang Huan

机构信息

Department of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.

Department of Anesthesiology, Peking University First Hospital, School of Clinical Medicine, Peking University, Beijing, China.

出版信息

Front Med (Lausanne). 2022 Apr 27;9:770105. doi: 10.3389/fmed.2022.770105. eCollection 2022.

DOI:10.3389/fmed.2022.770105
PMID:35572965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9092066/
Abstract

BACKGROUND

Little is known about the recent use of neuromuscular blocking agents (NMBAs) and monitoring in China. This paper presents the results of a nationwide survey conducted to obtain information regarding the current management of NMBAs in China.

METHODS

A questionnaire was sent to Chinese anesthesiologists inviting them to participate in the study. The questionnaire was available through the website, and the link was sent to 1,488 anesthesiologists using the mini app.

RESULTS

The web-based survey consisted of 28 questions, and data were collected using an online tool. Between May 19, 2021 and June 16, 2021, 637 responses were collected (response rate = 42.8%). Only 10.2% of anesthesiologists reported using neuromuscular function monitors, and 6.59% of respondents reported that they had the relevant monitors in the operating room.

CONCLUSION

Although PORC is a potential safety issue, the frequency of using reversal agents and monitors remains extremely low in China. Surveys such as this are important to understand the use and application customs of NMBAs in China.

摘要

背景

关于中国近期神经肌肉阻滞剂(NMBAs)的使用及监测情况,人们了解甚少。本文展示了一项全国性调查的结果,该调查旨在获取中国目前神经肌肉阻滞剂管理方面的信息。

方法

向中国麻醉医生发送了一份调查问卷,邀请他们参与研究。该问卷可通过网站获取,链接通过小程序发送给了1488名麻醉医生。

结果

基于网络的调查包含28个问题,数据通过在线工具收集。在2021年5月19日至2021年6月16日期间,共收集到637份回复(回复率 = 42.8%)。只有10.2%的麻醉医生报告使用神经肌肉功能监测仪,6.59%的受访者表示他们在手术室配备了相关监测仪。

结论

尽管术后残余肌松(PORC)是一个潜在的安全问题,但在中国,使用逆转剂和监测仪的频率仍然极低。此类调查对于了解中国神经肌肉阻滞剂的使用和应用习惯很重要。

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