The best evidence summary for the prevention of postural nerve injury in adult patients undergoing operation with general anesthesia
10.3760/cma.j.cn211501-20221128-03632
- VernacularTitle:全身麻醉手术成年人患者体位相关性神经损伤预防的最佳证据总结
- Author:
Peiyu LIU
1
;
Xiaoyan AN
;
Xiaofan LYU
;
Wei HUA
;
Xueyun LI
Author Information
1. 南京鼓楼医院麻醉手术科，南京 210008
- Keywords:
Anesthesia,general;
Universal precautions;
Surgical positions;
Nerve injuries;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2023;39(19):1477-1484
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To comprehensively retrieve and summarize the best evidence on the prevention of position-related nerve injury in adult patients undergoing general anesthesia, in order to provide evidence-based guidance for standardized position management during general anesthesia surgery in adults.Methods:Clinical decision-making, guidelines, evidence summaries, best practice, practice advisories, systematic reviews, expert consensuses were systematically search in UpToDate, BMJ Best Practice, Guidelines International Network (GIN), Canadian Medical Association: Clinical Practice Guideline(CMA Infobase), National Guideline Clearinghouse (NGC), National Institute for Health and Care Excellence(NICE), Cochrane Library, PubMed, CNKI, Wanfang, and related websites. The literature retrieval period was from the database construction to September 30,2022. The guidelines were independently assessed by 4 researchers, and the remaining literature was independently evaluated by 2 researchers. The literature that met the criteria was extracted. Finally, the expert meeting integrated the evidence and summarized the evidence topics.Results:A total of 17 articles were included, including 6 clinical decision-making, 3 guidelines, 2 practice advisories,5 systematic reviews, and 1 expert consensus. A total of 32 pieces of best evidence and 5 evidence topics were formed: personnel placement, perioperative evaluation, points of surgical position, key points in special surgery or situation, other general principles.Conclusion:This study summarized the best evidence for the prevention and management of surgical position related nerve injuries, and provides a scientific theoretical reference for postural management of adult patients undergoing operation with general anesthesia, to reduce the incidence of nerve injuries related position.
