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国民警卫队卫生事务部妇女健康医院择期剖宫产术中脊髓麻醉剂量对麻醉后护理单元停留时间的影响

Impact of Spinal Anesthesia Dosage in Elective Cesarean Section on the Duration of Stay in Post-Anesthesia Care Unit at the Women's Health Hospital, National Guard Health Affairs.

作者信息

Alkinani Amer A, Albabtean Badar, Alfaris Hamad, Alarwan Abdulmalik, Al Harbi Abdullah, Alrajeh Mohammed, Alhumaid Talal, Alhobabi Abdullah, Alanazi Faisal T, Alzahrani Raed, Alsaber Naif

机构信息

Anesthesia, King Abdulaziz Medical City Riyadh, Riyadh, SAU.

Anesthesiology, King Abdulaziz Medical City Riyadh, Riyadh, SAU.

出版信息

Cureus. 2024 Dec 13;16(12):e75626. doi: 10.7759/cureus.75626. eCollection 2024 Dec.

Abstract

In the field of obstetrics, cesarean sections have now become the most prominent procedure for the delivery of newborns. Cesarean sections may be handled with a variety of different anesthetic approaches, of which most focus seems to be on that of spinal forms, due to their rapid and effective action. Dosages of spinal anesthesia formulations differ depending on multiple variables, such as depth of anesthesia, level of analgesia, and desired duration of effects. Furthermore, length of stay in the hospital is also a crucial variable to take into account when using spinal anesthesia due to its implications for patient comfort, quality of care, and return to daily life. Hyperbaric bupivacaine is a mainstay agent in regard to cesarean section anesthesia, with the most commonly used dosages being 1.8 mL and 2.0 mL. This study aims to assess the difference in duration of stay in the post-anesthesia care unit between patients receiving 1.8 mL and 2.0 mL of 0.5% hyperbaric bupivacaine. Of the 306 patients who underwent elective cesarean sections, 63 patients received 2.0 mL of 0.5% hyperbaric bupivacaine and 243 patients received 1.8 mL of 0.5% hyperbaric bupivacaine.

摘要

在产科领域,剖宫产现已成为新生儿分娩最主要的手术方式。剖宫产可采用多种不同的麻醉方法,其中大多数关注的似乎是脊椎麻醉方式,因为其起效迅速且效果显著。脊椎麻醉制剂的剂量因多种变量而异,如麻醉深度、镇痛水平和预期效果持续时间。此外,住院时间也是使用脊椎麻醉时需要考虑的关键变量,因为它会影响患者舒适度、护理质量以及恢复日常生活的情况。重比重布比卡因是剖宫产麻醉的主要药物,最常用的剂量为1.8毫升和2.0毫升。本研究旨在评估接受1.8毫升和2.0毫升0.5%重比重布比卡因的患者在麻醉后护理单元的住院时间差异。在306例行择期剖宫产的患者中,63例接受了2.0毫升0.5%重比重布比卡因,243例接受了1.8毫升0.5%重比重布比卡因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afad/11645514/0a8782ed8c74/cureus-0016-00000075626-i01.jpg

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