■肺栓塞的诊断和治疗有基于特异性的多模式方法,灵敏度,机器的可用性,和成像方式的相关风险。
■本综述旨在提供改善可疑肺栓塞的围手术期诊断和管理的证据。
■该研究是根据2020年系统评价和荟萃分析(PRISMA)指南的首选报告项目进行的。在建立了明确的标准后,使用PubMed进行了电子搜索数据库,谷歌学者,科克伦图书馆,护理和相关健康文献累积指数(CINAHL),关键搜索条件包括:(\'肺栓塞\'和\'麻醉管理\',\'抗凝\'和\'肺栓塞\',\'溶栓\'和\'肺栓塞\',\'手术\'和\'肺栓塞\'),是用来提取证据的.根据WHO2011年的证据水平和推荐程度对文献质量进行分类,此外,该研究在研究注册中心唯一识别号(UIN)的reviewregistry1318注册。\“并具有基于AMSTAR2评估标准的高质量。
■总共包括27篇文章[指南(n=3),Cochrane(=5),系统审查(n=7),荟萃分析(=2),RCT(n=4),队列研究(n=3),将横断面研究(n=3)和从电子数据库搜索中识别出的难以辨认的文章导入到ENDNOTE软件版本X7.1中,并删除重复项。
■目前,对于疑似肺栓塞的患者,在诊断和治疗中采用了不同和相互矛盾的方法。
■所有围手术期患者,尤其是创伤受害者,前列腺或整形外科手术,恶性肿瘤,不动,和肥胖;吸烟者;和口服避孕药使用者,抗精神病药物会增加静脉血栓栓塞的风险,在手术和麻醉期间需要特别小心。
UNASSIGNED: The diagnosis and treatment of pulmonary embolism have multi-modal approach based on specificity, sensitivity, availability of the machine, and associated risks of imaging modalities.
UNASSIGNED: This review aimed to provide shreds of evidence that improve perioperative diagnosis and management of suspected pulmonary embolism.
UNASSIGNED: The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline 2020. After a clear criteria has been established an electronic searching database was conducted using PubMed, Google Scholar, Cochrane library, and Cumulative Index of Nursing and Allied Health Literature (CINAHL), with Key search terms included:(\'pulmonary embolism\' AND\' anesthesia management \', \'anticoagulation\' AND \'pulmonary embolism\', \'thrombolysis \'AND \'pulmonary embolism\', \'surgery\' AND\' pulmonary embolism\'), were used to draw the evidence.The quality of literatures were categorized based on WHO 2011 level of evidence and degree of recommendation, in addition, the study is registered with research registry unique identifying number (UIN) of reviewregistry1318.\" and has high quality based on AMSTAR2 assessment criteria.
UNASSIGNED: A totally of 27 articles were included [guidelines (n = 3), Cochrane (=5), systemic reviews (n = 7), meta-analyses (=2), RCT (n = 4), cohort studies (n = 3), and cross-sectional study (n = 3) and illegible articles identified from searches of the electronic databases were imported into the ENDNOTE software version X7.1 and duplicates were removed.
UNASSIGNED: Currently divergent and contradictory approaches are implemented in diagnosis and management for patients suspected of pulmonary embolism.
UNASSIGNED: All perioperative patients, especially trauma victims, prostate or orthopedic surgery, malignancy, immobility, and obesity; smokers; and oral contraceptive users, antipsychotic medications are at increased risk of venous thromboembolism and need special caution during surgery and anesthesia.