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Old 04-29-2011, 04:20 AM   #1
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Pelvic surgery indwelling catheter before and behind anesthesia clinical reconnaissance of comfort
Stresses the significance of catheter set and the process may generate discomfort in order to attain cooperation. We use remedial equipment Co., Ltd. Beijing Anse gas production of double-lumen 16F latex catheter. By man and female patients with genital catheterization method of disinfection and the urethra,tory burch, male patient into the catheter 18 ~ 20cm, feminine 12 ~ 15cm catheter inserted into the patient after injection of saline in the balloon 5 apt 8 minutes for the inner fixation . Pull behind ought be avoided, so as not to mar the urethra mucosa. OUTCOME MEASURES: The use of multi-function monitor surgery, 4 patients were measured before and catheterization catheterization, blood oppression (mmHg) heart rate and disc,abercrombie fitch outlet, without statistically premonitory difference. 4 groups of patients were recorded assessment of grief and embarrassment during catheterization the incidence of postoperative indwelling catheter within 12 hours of inquiring solace. Comfort assessment: using visual parallel scales, according to the subjective experience of patients and severity of grief recorded. Indwelling catheter during the absence of frequency,tory burch reva, urgency, dysuria for the solace of 0. ; Pain score 1 to 3 points, accompanied at urinary frequency,mulberry bags, urgency, a sense of urge for the comfort I. ; Pain score 4-7 points,ghd italia, accompanied by urinary frequency, urgency, a sense of impulse for comfort ??. ; Pain score 8-10 points, accompanied by urinary frequency, urgency, a sense of urge for comfort ??. . Statistical analysis: Normality test measurement file for the regular delivery by using the t test; counting information retard the results with indwelling catheter before and after anesthesia before intubation and intubation, blood pressure, center rate comparison: a aggregate of 147 patients with 4 groups of patients. The results showed namely blood pressure catheter inserted before and after anesthesia, center rate,roll top timberland boots, delicate fluctuations, yet P merits were> 0.05,abercrombie fitch uk,adidas scarpe, not statistical significance, penetrate Table 1. Indwelling catheter before and after anesthesia patient comfort compared: ?? epidural group,cheap tory burch bags, anesthesia anesthesia team compared before and after the indwelling catheter comfort: the outcome namely good after anesthesia intubation group, statistical results showed that P merits were <0.001 . ?? epidural group, anesthesia group indwelling catheter before and after anesthesia within 12 hours after the comparable comfort; result namely better before anesthesia, intubation group, statistical results showed that P values were <0.001. Experience. All information secondhand SPSSIO. 0 archive deal. l dispute group frog beetle attack enzyme convergence rate of engaged physicians crab canoe to obtain more conscience {awake|awake} catheterization, patients have altering degrees of discomfort and afflict, and left thinking cortex of the process memory. Indwelling catheter in the postoperative period of patients gradually accustom, to adopt the presence of catheter, therefore, indwelling catheter group before anesthesia, after anesthesia to {awake|wake up} before extubation discomfort and pain over an stretched period considerably less than the occurrence of save after anesthesia group, and its comfort is better. As the successor of conductive fibers in the urethral sensory pudendal nerve, anesthesia indwelling catheter after the catheter when in the afferent nerve is blocked, especially in intubated patients below general anesthesia was carried out in the senseless, so after anesthesia intubation group pain in the short term intubation, a lower incidence of discomfort. From the results, we tin see, this group of patient comfort during intubation,vibram store, though better, but because of the thinking cortex of the catheterization no memories of the process, thereby guiding to anesthesia catheter after the impact and does no approve the existence of anesthesia conscious indwelling catheter the incidence of pain and discomfort during the greatly additional. Patients beneath general anesthesia, principally in not fully awake when there is a big show in adjusting to the catheter, and even irritability, patients under general anesthesia in 4 patients can not accept the catheter in the resumption period showed the presence of utmost irritability, their cutting catheter. The action of catheterization is a transgression of human ecology, should try to lest the second intubation. Patients after catheter provocation is an important reason of pain and discomfort J. If this does not reduce the Chinese Community Doctors 2006 26 18 (Comprehensive Edition) (Volume 8, No. 147 is the total clinical care operators should residence the problem, but servant and diplomatic counterparts above the timing of indwelling catheter postoperative patient comfort and coalition studies between small, more accent on comfort during intubation when ignoring the longer save period of post-operative comfort, indwelling catheter is too not thought the relationship among time and comfort. We base indwelling catheter before anesthesia, blood pressure, heart rate fluctuations ambition be light, but by the statistical test showed no significant; The group results show that the implementation of catheterization before the full explanation to the patients get efficacious cooperation of patients to assure intubation success. indwelling catheter before and after anesthesia comfort of the patient although the advantages and drawbacks, but on poise, we believe that whether patients are adults, no special complications in the cardiovascular system, and the catheter was not removed instantly after those pelvic surgery patient catheterization best time should be 3 to 5 minutes before anesthesia.
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