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頁籤選單縮合
題 名 | 麻醉與感染=Anesthesia and Infection |
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作 者 | 唐高駿; | 書刊名 | 麻醉學雜誌 |
卷 期 | 38:4(增刊) 民89.12 |
頁 次 | 頁S1-S7 |
分類號 | 416.5 |
關鍵詞 | 麻醉; 感染管制; Anesthesia; Infection control; |
語 文 | 中文(Chinese) |
中文摘要 | 麻醉,無論是全身麻醉或是局部麻醉,皆是經由侵入性的管道將藥物送入病人無菌的體內,若在操作過程中,無菌技術不足則很容易帶入細菌或微生物,造成病人發生術後感染,本文將對麻醉中發生感染的機會與途逕做一總論,同時回應今年所報導的一位年輕健康女性在使用propofol誘導全身麻醉後接受隆乳手術,術後立即産生敗血性休克的病例。麻醉與感染的相關性一直被輕忽,在過去,外科病人的感染通常被認爲和外科醫師,手術程序以及手術後的照護有關。除非産生群突發的現象,一種罕見的菌種從多位病人的身上被分離出來,而且是發生在幹淨且不複雜的手術程序中,或是感染症狀在手術中或手術後很快地就發生,才會懷疑此感染與麻醉有關。我們強烈地建議教育所有的麻醉人員關於無菌技術的概念以及徹底遵循基本的感染管制措施。 |
英文摘要 | The conduct of anesthesia which many a time requires some form of invasive intervention, although to a lesser extent in comparison with surgery, would break the intactness of protection of the host. The anesthetic agent in use if contaminated will introduce microorganism into the body either through respiratory tract, intra-spinal puncture or intravenous line. This article reviewed the post-operative infections that related to anesthesia. The review also echoed to the article reported in our journal about post-operative septic shock due to contaminated propofol. The magnitude of anesthesia-related infection has been underestimated. Infections in surgical patients are frequently related to the surgeon, surgical procedure, or postoperative care. Anesthesia related outbreaks often remained unidentified unless an unusual organism is isolated, the infection occurs in clean, uncomplicated surgical procedures, the infection clusters in a group of patients, or the signs of infection occur during or immediately after surgery. We stressed that increased and continuous efforts should be made to remind the anesthesia personnel about the need of aseptic techniques and basic practice of infection control. |
本系統中英文摘要資訊取自各篇刊載內容。