国际麻醉学与复苏杂志   2014, Issue (2): 1-1
    
全麻复苏期发生严重呼吸并发症相关因素分析与防治新进展
安小凤, 钟泰迪, 祁海鸥1()
1.浙江湖州解放军第98医院麻醉科
Survey of risk factors associated with Critical Respiratory Events in the Postanesthesia Care Unit after general anesthesia
 全文:
摘要:

摘要 背景 术后恢复室内发生呼吸并发症是全麻后早期最常见的并发症之一。严重的呼吸并发症甚至需要紧急再插管进行机械通气以纠正低氧血症。目的 有效的预防并及时发现和处理可将低氧血症的发生率及危害减少到最低限度。内容 本文研究导致术后呼吸并发症发生所涉及的因素:病人因素包括高龄、吸烟、肥胖以及术前心肺功能障碍等;手术相关因素包括手术部位、手术时长等;麻醉相关因素包括麻醉方式的选择、麻醉药物的使用、术中管理、术后镇痛等。趋向 导致术后复苏期严重的呼吸并发症可能是一个或多个因素综合作用的结果。需要跟深入研究相关的预防措施以及如何改善并发症的转归。

关键词: 【关键词】全麻;麻醉后复苏室;呼吸系统并发症;二次插管;预防
Abstract:

【Abstract】 Background The postoperative respiratory event is one of the most common complications in early surgery patients.Emergency reintubation in the post-anesthesia care unit (PACU) is needed for a ventilator support. Objective Effective prevention,timely detection and treatment can minimize the incidence and risk of hypoxemia. Content This study would research the factors associated with the occurrence of a respiratory event in the PACU:patient factors including elder,smoking and obesity,surgical factors including operative site and operative time,and specific aspects of anesthetic management. Trend The occurrence caused critical respiratory complications in the PACU may be the effect of one or more factors.This study will prompt further studies on preventative measures or evaluation of how to improve outcomer.

Key words: 【Key words】General anesthesia;Post-anaesthesia Care Unit ;Respiratory complications;Reintubation ;Prevention