华东导读——《英国麻醉杂志》2024年09月刊,第133卷第3期

文摘   2024-10-13 07:00   上海  

《华东导读》

British Journal of Anaesthesia

Volume 133 Issue 3

( September 2024 )


《英国麻醉杂志》

2024年09月刊,第133卷第3期

British Journal of Anesthesia



翻译丨沈妍

审校丨卫炯琳

总校对丨杨旅军  顾卫东

 (复旦大学附属华东医院麻醉科)


临床拾萃

1. 驱动压指导的机械通气与手术患者术后肺部并发症的相关性:一项试验序列分析的荟萃分析

▲图1.

驱动压指导的机械通气与术后肺部并发症相关性的森林图。可见非心脏手术中驱动压指导的机械通气与较低的术后肺部并发症相关,但在心脏手术中两者无相关性。DPV=驱动压指导的机械通气。CPV=传统的保护性机械通气。

2. 美国儿童围手术期过敏反应的发生率及危险因素

要点:

● 美国儿童围手术期过敏反应的发生率为1/12125

● 儿童围手术期过敏反应的医患因素:6-17岁儿童、移植手术、心血管手术、并存肺部疾病





心血管


1.纤溶亢进与顽固性循环骤停预后不良的相关性:对体外心肺复苏的启示

Association of hyperfibrinolysis with poor prognosis in refractory circulatory arrest: implications for extracorporeal cardiopulmonary resuscitation


临床实践


2.非心脏手术后急性肾损伤的术前风险预测模型:一项独立的外部验证队列研究

Preoperative risk prediction models for acute kidney injury after noncardiac surgery: an independent external validation cohort study


3.采用基于软件的决策支持工具进行与指南相符的术前评估:一项前瞻性一致性研究

Implementation of a software-based decision support tool for guideline-appropriate preoperative evaluation: a prospective agreement study


4.麻醉人员安排的改变对收费合规性、财务边际和麻醉服务费用的影响:边际-v成本估算工具的开发和应用

Impact of changes in anaesthesia staff assignments on billing compliance, financial margins, and costs of anaesthesia services: development and application of a margin-cost estimation tool

重症监护


5.持续性炎症、免疫抑制和分解代谢综合征(PICS)的风险因素、生物标志物及机制:系统性评价和荟萃分析

Risk factors, biomarkers, and mechanisms for persistent inflammation, immunosuppression, and catabolism syndrome (PICS): a systematic review and meta-analysis


神经科学与神经麻醉


6.脑电图指标与持续性脑血管自动调节评估的相关性:一项范围综述

Association between EEG metrics and continuous cerebrovascular autoregulation assessment: a scoping review


7.术后谵妄研究中与干预措施有效性相关的特点:采用meta回归和meta分析的随机对照试验的系统性评价

Characteristics associated with effectiveness in postoperative delirium research: a systematic review of randomised controlled trials with meta-regression and meta-analysis

儿科麻醉


8.美国儿童围手术期过敏反应的发生率及危险因素

Incidence of and risk factors for paediatric perioperative anaphylaxis in the USA


疼痛


9.术前疼痛敏感性及其与术后急性和慢性疼痛的关系:系统性评价和荟萃分析

Preoperative pain sensitivity and its correlation with postoperative acute and chronic pain: a systematic review and meta-analysis


10.多部位慢性疼痛与心血管功能障碍相关:一项观察性英国生物样本库队列研究

Chronic pain in multiple sites is associated with cardiovascular dysfunction: an observational UK Biobank cohort study

质量和患者安全


11.手术患者中右美托咪定对以患者为中心的预后的有效性:一项系统性评价和贝叶斯荟萃分析

Effectiveness of dexmedetomidine on patient-centred outcomes in surgical patients: a systematic review and Bayesian meta-analysis


12.麻醉人员性别与围手术期并发症的相关性:一项回顾性双中心队列研究

Association of anaesthesia provider sex with perioperative complications: a two-centre retrospective cohort study


13.全膝和髋关节置换术中患者血液管理的质量指标的医院间差异:一项回顾性队列研究

Hospital variation in quality indicators for patient blood management in total knee and hip arthroplasty: a retrospective cohort study


呼吸与气道


14.驱动压指导的机械通气与手术患者术后肺部并发症的相关性:一项试验序列分析的荟萃分析

Association between driving pressure-guided ventilation and postoperative pulmonary complications in surgical patients: a meta-analysis with trial sequential analysis

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《英国麻醉杂志》

2024年09月刊,第133卷第3期

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