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首页> 外文期刊>Anaesthesia: Journal of the Association of Anaesthetists of Great Britain and Ireland >Improving the accuracy of risk assessment in postoperative nausea and vomiting.
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Improving the accuracy of risk assessment in postoperative nausea and vomiting.

机译:提高术后恶心和呕吐风险评估的准确性。

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摘要

The meta-analysis by Fernandez-Guisa-sola et al. [1] found that the omission of nitrous oxide significantly reduced postoperative nausea and vomiting (PONV): pooled relative risk 0.80, 95% CI 0.71-0.90, p = 0.0003. The ability to predict risk is necessary to reduce PONV rates; however, anaesthetists' subjective patient assessment may not be accurate. During a prospective audit in our hospital, we evaluated the anaesthetist's subjective risk assessment relative to the risk stratification system proposed by Apfel et al. [2]. This model identifies four primary risk factors during inhala-tional anaesthesia: female sex, nonsmoking status, a history of PONV or motion sickness and opioid use. The Apfel model, using four risk factors, predicted PONV risk across groups of patients without loss of discriminating power [2, 3].
机译:Fernandez-Guisa-sola等人的荟萃分析。 [1]发现省略一氧化二氮可显着减少术后恶心和呕吐(PONV):相对危险度汇总为0.80,95%CI为0.71-0.90,p = 0.0003。降低风险的能力是降低PONV率所必需的;但是,麻醉师的主观患者评估可能不准确。在我们医院进行的前瞻性审核中,我们根据Apfel等人提出的风险分层系统,评估了麻醉师的主观风险评估。 [2]。该模型确定了吸入麻醉期间的四个主要危险因素:女性,不吸烟,PONV或晕车病史以及使用了阿片类药物。使用四个风险因素的Apfel模型可预测各组患者的PONV风险,而不会丧失鉴别力[2,3]。

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