Malignant Hyperthermia-Susceptible Adult Patient and Ambulatory Surgery Center: Society for Ambulatory Anesthesia and Ambulatory Surgical Care Committee of the American Society of Anesthesiologists Position Statement

Urman Richard D.; Rajan Niraja; Belani Kumar; Gayer Steven; Joshi Girish P.

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Malignant Hyperthermia-Susceptible Adult Patient and Ambulatory Surgery Center: Society for Ambulatory Anesthesia and Ambulatory Surgical Care Committee of the American Society of Anesthesiologists Position Statement

机译：恶性热疗易感成人患者和外流外科中心：美国麻醉师学会的动态麻醉和外科手术委员会职位声明

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This document represents a joint effort of the Society for Ambulatory Anesthesia (SAMBA) and the Ambulatory Surgical Care Committee of the American Society of Anesthesiologists (ASA) concerning the safe anesthetic care of adult malignant hyperthermia (MH)-susceptible patients in a free-standing ambulatory surgery center (ASC). Adult MH-susceptible patients can safely undergo a procedure in a free-standing ASC assuming that proper precautions for preventing, identifying, and managing MH are taken. The administration of preoperative prophylaxis with dantrolene is not indicated in MH-susceptible patients scheduled for elective surgery. There is no evidence to recommend an extended stay in the ASC, and the patient may be discharged when the usual discharge criteria for outpatient surgery are met. Survival from an MH crisis in an ASC setting requires early recognition, prompt treatment, and timely transfer to a center with critical care capabilities.

机译：本文件代表了社会动态麻醉学会（Samba）和美国麻醉学家（ASA）的动态手术护理委员会关于成人恶性热疗（MH）的安全麻醉患者在独立的情况下的联合努力动态手术中心（ASC）。假设采取了预防，识别和管理MH的适当预防措施，成年MH-易感患者可以在独立的ASC中安全地进行一次手术。术前预防与甘油烯的施用不明于调度选择手术的MH易感患者。没有证据表明在ASC中推荐扩展住宿，并且当达到门诊手术的通常放电标准时，患者可能会出院。在ASC设置中的MH危机中生存需要早期识别，及时处理，并及时转移到具有关键护理能力的中心。

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《Anesthesia and Analgesia: Journal of the International Anesthesia Research Society》 |2019年第2期|共3页
作者
Urman Richard D.; Rajan Niraja; Belani Kumar; Gayer Steven; Joshi Girish P.;
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作者单位

Harvard Med Sch Brigham &

Womens Hosp Dept Anesthesiol Perioperat &

Pain Med Boston MA 02115 USA;

Penn State Hlth Penn State Hershey Med Ctr Dept Anesthesiol &

Perioperat Med Hershey PA USA;

Univ Minnesota Dept Anesthesiol Minneapolis MN USA;

Univ Miami Hlth Syst Dept Anesthesiol Perioperat Med &

Pain Management Miami FL USA;

Univ Texas Southwestern Med Ctr Dallas Dept Anesthesiol &

Pain Management 5323 Harry Hines Blvd;

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正文语种 eng
中图分类麻醉学;
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1. Malignant Hyperthermia-Susceptible Adult Patient and Ambulatory Surgery Center: Society for Ambulatory Anesthesia and Ambulatory Surgical Care Committee of the American Society of Anesthesiologists Position Statement [J] . Urman Richard D., Rajan Niraja, Belani Kumar, Anesthesia and Analgesia: Journal of the International Anesthesia Research Society . 2019,第2期

机译：恶性热疗易感成人患者和外流外科中心：美国麻醉师学会的动态麻醉和外科手术委员会职位声明
2. Society for ambulatory anesthesia consensus statement on preoperative selection of adult patients with obstructive sleep apnea scheduled for ambulatory surgery [J] . JoshiG.P., AnkichettyS.P., GanT.J., Anesthesia and Analgesia: Journal of the International Anesthesia Research Society . 2012,第5期

机译：非卧床麻醉学会关于拟行非卧床手术的成人阻塞性睡眠呼吸暂停患者术前选择的共识声明
3. Society for Ambulatory Anesthesia consensus statement on perioperative blood glucose management in diabetic patients undergoing ambulatory surgery. [J] . Joshi GP, Chung F, Vann MA, Anesthesia and Analgesia: Journal of the International Anesthesia Research Society . 2010,第6期

机译：非卧床麻醉学会关于进行非卧床手术的糖尿病患者围手术期血糖管理的共识声明。
4. Cybertherapy New applications for discomfort reductions Surgical Care Unit of Heart, Neonatology Care Unit, Transplant Kidney Care Unit, Delivery Room-Cesarean Surgery and ambulatory surgery, 27 case reports [C] . Jose Luis MOSSO, Skip RIZZO, Brenda WIEDERHOLD, Medicine Meets Virtual Reality . 2007

机译：Cyberstherapy New Accormtut of Creadoctutions手术护理单位心脏，新生儿学保管，移植肾保管单位，移植室 - 剖宫产和车身手术，27例报告
5. TeamSTEPPS? Implementation at a Free Standing Ambulatory Surgical Center for Anesthesia Critical and Adverse Event Training [D] . Munns, Emily. 2018

机译：Teamstepps？在一个自由站立的动态手术中心的麻醉和不良事件培训的实施
6. American Society of Anesthesiologists Physical Status Classification as a reliable predictor of postoperative medical complications and mortality following ambulatory surgery: an analysis of 2089830 ACS-NSQIP outpatient cases [O] . Colin Foley, Mark C. Kendall, Patricia Apruzzese, 2021

机译：美国麻醉学士学家将物理状态分类作为术后医疗并发症的可靠预测因子和后草手术后死亡率：分析2089830 ACS-NSQIP门诊病例
7. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography41This document was approved by the American College of Cardiology Board of Trustees in November 2001 and the American Heart Association Science Advisory and Coordinating Committee in August 2001.42When citing this document, the American College of Cardiology and the American Heart Association would appreciate the following citation format: Kadish AH, Buxton AE, Kennedy HL, Knight BP, Mason JW, Schuger CD, Tracy CM. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography: a report of the American College of Cardiology/American Heart Association/American College of Physicians-American Society of Internal Medicine Task Force on Clinical Competence (ACC/AHA Committee to Develop a Clinical Competence Statement on Electrocardiography and Ambulatory Electrocardiography); J Am Coll Cardiol 2001;38:2091–100.43This document is available on the World Wide Web sites of the American College of Cardiology (www.acc.org) and the American Heart Association (www.americanheart.org). Reprints of this document may be purchased for $5.00 each by calling 1-800-253-4636 or by writing to the American College of Cardiology, Educational Services, 9111 Old Georgetown Road, Bethesda, Maryland 20814-1699.44© 2001 by the American College of Cardiology and American Heart Association, Inc. A report of the ACC/AHA/ACP–ASIM Task Force on Clinical Competence (ACC/AHA Committee to Develop a Clinical Competence Statement on Electrocardiography and Ambulatory Electrocardiography) Endorsed by the International Society for Holter and Noninvasive Electrocardiology [O] . Kadish Alan H., Buxton Alfred E., Kennedy Harold L., 2001

机译：心电图和动态心电图的ACC / AHA临床能力声明41本文件于2001年11月获得美国心脏病学会理事会的批准，并于2001年8月获得美国心脏协会科学咨询和协调委员会的批准.42引用该文件时，美国心脏病学会和美国心脏病学会美国心脏协会会赞赏以下引用格式：Kadish AH，Buxton AE，Kennedy HL，Knight BP，Mason JW，Schuger CD，Tracy CM。 ACC / AHA关于心电图和动态心电图的临床能力声明：美国心脏病学会/美国心脏协会/美国内科医师学会-美国内科医师学会临床能力特别工作组的报告（ACC / AHA发展临床能力委员会心电图和动态心电图声明）； J Am Coll Cardiol 2001； 38：2091–100.43该文件可在美国心脏病学会（www.acc.org）和美国心脏协会（www.americanheart.org）的万维网站点上找到。通过致电1-800-253-4636或写信给美国心脏病，教育服务学院，地址为9111 Old Georgetown Road，Bethesda，Maryland 20814-1699.44©2001，由美国学院以$ 5.00的价格购买。心脏病学和美国心脏协会公司ACC / AHA / ACP–ASIM临床能力特别工作组的报告（制定心电图和动态心电图临床能力声明的ACC / AHA委员会）得到国际动态心电图和无创学会的认可心电学
8. Medicare and Beneficiaries Could Save Billions If CMS Reduces Hospital Outpatient Department Payment Rates for Ambulatory Surgical Center-Approved Procedures to Ambulatory Surgical Center Payment Rates [R] . 2014

机译：医疗保险和受益人可以节省数十亿如果Cms减少门诊手术中心批准的门诊部门支付率到门诊手术中心支付率

Malignant Hyperthermia-Susceptible Adult Patient and Ambulatory Surgery Center: Society for Ambulatory Anesthesia and Ambulatory Surgical Care Committee of the American Society of Anesthesiologists Position Statement

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