《麻醉与镇痛》2023年2月刊，第136卷第2期

本文由“麻醉新超人"授权转载

翻译：张  丽 徐医2022级麻醉学研究生

审校：赵林林 徐医附院麻醉科

February 2023 - Volume 136 - Issue 2

Featured Articles Infographic

Modeling the Risk of Intraoperative Hypotension

术中低血压风险建模

Exploring Links Between Pregnancy, Hypertension, and Sleep Apnea

探索妊娠、高血压和睡眠呼吸暂停之间的联系

Original Clinical Research Report

Preoperative Identification of Patient-Dependent Blood Pressure Targets Associated With Low Risk of Intraoperative Hypotension During Noncardiac Surgery

术前确定与非心脏手术术中低血压低风险相关的患者依赖的血压目标

Obstructive Sleep Apnea Among Gravidas With Chronic Hypertension Compared to Matched Controls: A Prospective Cohort Study

与匹配对照组相比，慢性高血压妊娠患者的阻塞性睡眠呼吸暂停：一项前瞻性队列研究

The Specialist Anesthesiology Workforce in East, Central, and Southern Africa: A Cross-Sectional Study

非洲东部、中部和南部的麻醉学专家队伍：一项横断面研究

Consequences of General Anesthesia in Infancy on Behavior and Brain Structure

婴儿全身麻醉对行为和大脑结构的影响

Editorial

A Call to Arms: Ambulatory Surgery Center Care of Cardiac Patients

战斗的号令:心脏病人的门诊手术中心的照护

The Anesthesia Workforce Crisis Revisited

重新审视麻醉劳动力危机

Comparer Pommes et Oranges: Perils of Translating Rodent Studies to Human Outcomes

比较Pommes 和 Oranges：将啮齿动物研究转化为人类结果的危险

The Open Mind

Pro-Con Debate: Are Patients With Coronary Stents Suitable for Free-Standing Ambulatory Surgery Centers?

正反辩论：冠状动脉支架患者是否适合独立的门诊手术中心？

Abstract

With increasing implantation of coronary artery stents over the past 2 decades, it is inevitable that anesthesiologists practicing in the outpatient setting will need to determine whether these patients are suitable for procedures at a free-standing ambulatory surgery center (ASC). Appropriate selection of patients with coronary artery stents for a procedure in an ASC requires consideration of factors that affect the balance between the risk of stent thrombosis due to interruption of antiplatelet therapy and the thrombogenic effects of surgery, and the risk of perioperative bleeding complications that may occur if antiplatelet therapy is continued. Thus, periprocedure care of these patients presents unique challenges, particularly for extensive surgical procedures that are increasingly scheduled for free-standing ASCs, where consultation and ancillary services, as well as access to percutaneous cardiac interventions, may not be readily available. Therefore, the suitability of the ambulatory setting for this patient population remains highly controversial. In this Pro-Con commentary, we discuss the arguments for and against scheduling patients with coronary artery stents in free-standing ASCs.

随着过去20年来冠状动脉支架植入的增加，在门诊执业的麻醉医师不可避免地需要确定这些患者是否适合在独立门诊手术中心 （ASC） 进行手术。在ASC手术中正确选择冠状动脉支架患者需要考虑以下因素：由于抗血小板治疗中断而导致支架血栓形成的风险与手术的血栓形成作用之间的平衡，以及如果继续抗血小板治疗可能发生围手术期出血并发症的风险。因此，这些患者的围手术期照护提出了独特的挑战，特别是对于越来越多的独立ASC安排的广泛外科手术，在这些手术中，咨询和辅助服务以及经皮心脏介入治疗可能不容易获得。因此，门诊环境是否适合这一患者群体仍存在很大争议。在这篇正反辩论中，我们讨论了支持和反对将冠状动脉支架患者安排在独立式ASC中的论点。

Meta-Analysis

Association Between the FRAIL Scale and Postoperative Complications in Older Surgical Patients: A Systematic Review and Meta-Analysis

老年手术患者虚弱量表与术后并发症的相关性：一项系统回顾和Meta分析

Review Articles

Systematic Review Article

Level of Evidence of Guidelines for Perioperative Management of Patients With Obstructive Sleep Apnea: An Evaluation Using the Appraisal of Guidelines for Research and Evaluation II Tool

阻塞性睡眠呼吸暂停患者围手术期管理指南的证据水平：一项利用研究指南评价工具进行评价

Narrative Review Article

Resident Physicians as Clinical Educators in Anesthesiology: A Narrative Review

住院医师作为麻醉学的临床带教：一项叙述性回顾

Original Research Articles

Original Clinical Research Report

Pulmonary Vasodilator Response of Combined Inhaled Epoprostenol and Inhaled Milrinone in Cardiac Surgical Patients

心脏外科患者联合吸入依前列醇和米力农的肺血管扩张反应

Prevalence and Outcomes of Opioid Use Disorder in Pediatric Surgical Patients: A Retrospective Cohort Study

小儿外科患者阿片类药物使用障碍的患病率和结局：一项回顾性队列研究

Health Care Burden Associated With Adolescent Prolonged Opioid Use After Surgery

与青少年术后长期使用阿片类药物相关的医疗负担

Reducing Volatile Anesthetic Waste Using a Commercial Electronic Health Record Clinical Decision Support Tool to Lower Fresh Gas Flows

使用商业电子健康记录临床决策支持工具减少挥发性麻醉废物，以降低新鲜气体流量

Effect of 5% EMLA Cream on Postoperative Sore Throat in Adults Following General Endotracheal Anesthesia: A Randomized Placebo-Controlled Study

5% EMLA乳膏对成人气管内全麻术后咽喉痛的影响:一项随机安慰剂对照研究

Always Assess the Raw Electroencephalogram: Why Automated Burst Suppression Detection May Not Detect All Episodes

始终评估原始脑电图：为什么自动脉冲抑制检测可能检测不到所有发作

Effects of Goal-Directed Hemodynamic Therapy Using a Noninvasive Finger-Cuff Monitoring Device on Intraoperative Cerebral Oxygenation and Early Delayed Neurocognitive Recovery in Patients Undergoing Beach Chair Position Shoulder Surgery: A Randomized Controlled Trial

使用无创指铐监测装置的目标导向血流动力学治疗对接受沙滩椅位置肩部手术的患者术中脑氧合和早期延迟神经认知恢复的影响：一项随机对照试验

Complications and Technical Consideration of Ultrasound-Guided Rectus Sheath Blocks: A Retrospective Analysis of 4033 Patients

超声引导腹直肌鞘神经阻滞的并发症和技术思考：4033例患者的回顾性分析

Original Laboratory Research Report

OCP002, a Mixed Agonist of Opioid and Cannabinoid Receptors, Produces Potent Antinociception With Minimized Side Effects

OCP002是阿片类药物和大麻素受体的混合激动剂，可产生强大的镇痛作用，副作用最小

Oiginal Research Articles

Original Clinical Research Report

Nationwide Clinical Practice Patterns of Anesthesiology Critical Care Physicians: A Survey to Members of the Society of Critical Care Anesthesiologists

麻醉学重症监护医师的全国临床实践模式：对重症监护麻醉医师协会成员的调查

Special Article

What Is New in Obstetric Anesthesia: The 2021 Gerard W. Ostheimer Lecture

产科麻醉的新进展：2021年Gerard W. Ostheimer讲座

Improving Patient Blood Management Programs: An Implementation Science Approach

改善患者血液管理方案：一项实施科学的方法

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编辑：MiLu.米鹭

校对：Michel.米萱

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