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急诊与创伤手术中的麻醉管理:一篇叙述性综述

Anesthesia Management in Emergency and Trauma Surgeries: A Narrative Review.

作者信息

Alnsour Taysir M, Altawili Mohammed A, Alhoqail Arwa M, Alzaid Faisal Y, Aljeelani Yousef O, Alanazi Areej M, Alfouzan Rakan K, Alsultan Sultan, Almulhem Abdulrahman A

机构信息

Anaesthesiology, King Fahad Specialist Hospital, Tabuk, SAU.

General Practice, Alaziziyah Primary Health Care Center, Tabuk, SAU.

出版信息

Cureus. 2024 Aug 12;16(8):e66687. doi: 10.7759/cureus.66687. eCollection 2024 Aug.

DOI:10.7759/cureus.66687
PMID:39262530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11389654/
Abstract

Emergency and trauma surgeries present unique challenges for anesthesiologists due to the acuity of patient conditions and the need for rapid intervention. This review aims to provide insights into the optimal management of anesthesia in emergency and trauma surgery settings. We searched the National Institute of Health PubMed, Scopus, MEDLINE, and Web of Science databases between 2014 and 2024 to synthesize current evidence and best practices for anesthesia management during emergency and trauma surgeries. This literature review examines the evolving role of anesthesia in emergency and trauma surgeries, focusing on key considerations such as patient management, hemodynamic stability, and the choice of anesthetic agents. The review discusses recent advancements in anesthesia techniques, including the use of regional anesthesia and multimodal analgesia, to optimize patient outcomes while minimizing complications. Additionally, it discusses the importance of interdisciplinary collaboration among anesthesiologists, surgeons, and other healthcare professionals in delivering timely and effective care to critically injured patients.

摘要

由于患者病情危急且需要快速干预,急诊和创伤手术给麻醉医生带来了独特的挑战。本综述旨在深入探讨急诊和创伤手术中麻醉的最佳管理方法。我们检索了2014年至2024年间美国国立卫生研究院的PubMed、Scopus、MEDLINE和科学网数据库,以综合当前关于急诊和创伤手术麻醉管理的证据和最佳实践。这篇文献综述探讨了麻醉在急诊和创伤手术中不断演变的作用,重点关注患者管理、血流动力学稳定性和麻醉药物选择等关键因素。该综述讨论了麻醉技术的最新进展,包括区域麻醉和多模式镇痛的应用,以优化患者预后并减少并发症。此外,还讨论了麻醉医生、外科医生和其他医疗专业人员之间跨学科合作对于为重伤患者提供及时有效治疗的重要性。

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Efficacy and Safety of Ketamine-Dexmedetomidine Versus Ketamine-Propofol Combination for Periprocedural Sedation: A Systematic Review and Meta-analysis.氯胺酮-右美托咪定与氯胺酮-丙泊酚联合用于围手术期镇静的疗效和安全性:系统评价和荟萃分析。
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Anesthesiologists' Role in Value-based Perioperative Care and Healthcare Transformation.麻醉医师在基于价值的围手术期护理和医疗保健转型中的作用。
Anesthesiology. 2021 Apr 1;134(4):526-540. doi: 10.1097/ALN.0000000000003717.
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The impact of trauma systems on patient outcomes.创伤系统对患者治疗结果的影响。
Curr Probl Surg. 2021 Jan;58(1):100840. doi: 10.1016/j.cpsurg.2020.100840. Epub 2020 Jun 5.
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