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全身麻醉患者延迟离开麻醉恢复室及谵妄的麻醉深度监测的警示与护理体会

Warning and Nursing Experience of Anesthesia Depth Monitoring for Patients with General Anesthesia Delayed to Leave Anesthesia Recovery Room and Delirium.

作者信息

Xuan Hongmei, Xu Keping

机构信息

Department of Pain, Zhuji People's Hospital of Zhejiang Province, Zhuji, Shaoxing 311800, Zhejiang, China.

Department of Anesthesia, Zhuji Traditional Chinese Medicine Hospital of Zhejiang Province, Zhuji, Shaoxing 311800, Zhejiang, China.

出版信息

Emerg Med Int. 2022 Nov 10;2022:3610838. doi: 10.1155/2022/3610838. eCollection 2022.

Abstract

Affected by the residues of narcotic drugs, patients under general anesthesia are vulnerable to emergence of agitation, delirium, hemodynamic changes, and other adverse events in the recovery period of anesthesia. Therefore, it is necessary to strengthen the observation and care of these patients. Depth of anesthesia monitoring (DAM) has always been a concern for anesthesiologists, but there are few reports related to it. This study compared the early warning value of DAM for patients under general anesthesia with delayed exit from the anesthesia recovery unit (PACU) and delirium and summarized the related nursing experience. The results showed that DAM could reduce the incidence of complications in patients under general anesthesia, reduce the incidence of delirium, shorten the time of postoperative anesthesia recovery and PACU observation time, reduce the workload of nursing staff, and improve nursing satisfaction. DAM plays an important role in improving the quality and efficiency of care in PACU.

摘要

受麻醉药物残留影响,全身麻醉患者在麻醉恢复期易出现躁动、谵妄、血流动力学改变等不良事件。因此,有必要加强对这些患者的观察与护理。麻醉深度监测(DAM)一直是麻醉医生关注的问题,但相关报道较少。本研究比较了DAM对全身麻醉患者延迟离开麻醉恢复室(PACU)和谵妄的预警价值,并总结了相关护理经验。结果表明,DAM可降低全身麻醉患者并发症的发生率,降低谵妄的发生率,缩短术后麻醉恢复时间和PACU观察时间,减轻护理人员工作量,提高护理满意度。DAM在提高PACU护理质量和效率方面发挥着重要作用。

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Depth of Anesthesia and Postoperative Delirium.麻醉深度与术后谵妄
JAMA. 2019 Feb 5;321(5):459-460. doi: 10.1001/jama.2019.0164.

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