A randomized controlled trial of bedside ultrasound RUSH process to improve the quality of anesthesia for elderly emergency surgery patients

作者全名："Liu, Dawei; Chen, Kun; Yao, Yanfeng; Sun, Jingfei"

作者地址："[Liu, Dawei; Chen, Kun] Chongqing Med Univ, Yongchuan Hosp, Dept Anesthesiol, XuanHua Rd 439, Chongqing 402160, Peoples R China; [Yao, Yanfeng] Chongqing Med Univ, Yongchuan Hosp, Dept Ultrasound, XuanHua Rd 439, Chongqing 402160, Peoples R China; [Sun, Jingfei] Chongqing Yongchuan Dakang Hosp Tradit Chinese Me, Dept Anesthesiol, Phoenix Ave 8, Chongqing 402160, Peoples R China"

通信作者："Sun, JF (通讯作者)，Chongqing Yongchuan Dakang Hosp Tradit Chinese Me, Dept Anesthesiol, Phoenix Ave 8, Chongqing 402160, Peoples R China."

来源：PAKISTAN JOURNAL OF MEDICAL SCIENCES

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000929032900002

JCR分区：Q3

影响因子：2.2

年份：2022

卷号：38

期号：6

开始页：1696

结束页：1702

文献类型：Article

关键词：RUSH process; Elder patients; Emergency surgery; Intraoperative anesthesia management

摘要："Objectives: The rapid ultrasound in shock examination (RUSH process) is an assessment of patient's heart function, volume status, and vasculature, which can help anesthesiologist understand the patient's physical condition. In this study, the RUSH process was applied to elderly emergency surgery patients to evaluate whether it is beneficial to maintain the patient's vital signs stable during the operation. Methods: In this randomized controlled clinical study one hundred elderly patients who needed general anesthesia and emergency surgery from January 2021 to July 2021 were randomly divided into RUSH group (Group-A, n=52) and control group (Group-B, n=48). The main result include the area under the intraoperative blood pressure curve (AUC), liquid input, urine output, lactic acid levels, number of vasoactive drugs used. Results: There were no significant differences in patients' basic information, preoperative blood pressure, intraoperative blood loss, intraoperative fluid input, intraoperative blood transfusion, and urine output. Intraoperative systolic blood pressure less than 90mmHg AUC of Group-A is less than Group-B(P<0.05), diastolic blood pressure less than 60mmHg AUC of Group-A is less than Group-B(P<0.05). After the operation, the blood gas analysis lactic acid level in Group-A was lower than that in Group-B(P<0.05). Group-A used more vasoactive drugs than Group-B(P<0.05). Conclusion: The bedside ultrasound RUSH process is of great significance for anesthesiologist to understand the preoperative physical condition of elderly emergency surgery patients, and is beneficial to maintain the stability of intraoperative vital signs."

基金机构：Chongqing Science and Technology Joint Project [MSXM20202676]

基金资助正文：The work was supported by the Chongqing Science and Technology Joint Project (No. MSXM20202676).