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9 Patient Safety, Complications, and Mishaps in Anesthesia

机译:9麻醉中的患者安全性,并发症和失误

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The objective of this study was to determine the effect of wearing a mouthguard on maximal exercise capacity and cardiopulmonary parameters at peak workload, and to assess the athletes' attitudes toward wearing a mouthguard. Thirteen volunteer male athletes (18 to 27 years old) were interviewed before and after delivery of a custom-made laminated mouthguard. A visual analogue scale (VAS, 0-100 mm) was used for judgment of interference with breathing, speaking, concentration and athletic performance. In addition, the athletes were subjected to a cardiorespiratory examination on a cycle ergometer with and without mouthguards. Subjectively, the athletes rated the mean interference with performance to be 37 mm VAS at the beginning of the study. Mean scores of impairment decreased to 23 mm VAS (p = 0.081) after wearing the mouthguard for four weeks, and further improved to 12 mm VAS (p < 0.001) after the test on the cycle ergometer. Objectively, the maximum workload during spiroergometry was even slightly elevated during exercise with the mouthguard (330.2 W) compared to exercise without the mouthguard (314.5 W). Peak minute ventilation and oxygen uptake were not different during exercise with and without the mouthguard. The present study demonstrated that a custom-made mouthguard does not significantly affect or reduce maximum exercise performance of athletes.
机译:这项研究的目的是确定在最高工作负荷下佩戴护齿罩对最大运动能力和心肺参数的影响,并评估运动员对佩戴护齿罩的态度。在交付定制层压护齿板之前和之后,采访了13位志愿者男运动员(18至27岁)。视觉模拟量表(VAS,0-100 mm)用于判断对呼吸,说话,注意力和运动表现的干扰。另外,在有和没有护齿器的情况下,在自行车测功计上对运动员进行心肺检查。主观上,运动员在研究开始时将对表现的平均干扰定为37 mm VAS。佩戴护齿套四周后,平均损伤评分降低至23 mm VAS(p = 0.081),而在循环测功机上进行测试后,损伤的平均评分进一步提高至12 mm VAS(p <0.001)。客观上,与没有护牙套的锻炼(314.5 W)相比,在有护牙套的锻炼过程中,人体描记术中的最大工作量甚至略有增加。在有和没有护齿的情况下,运动期间的峰值分钟通气量和摄氧量没有差异。本研究表明,定制的护齿板不会显着影响或降低运动员的最大运动表现。

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