喉の損傷 横たわる状態の後の喉の損傷: 喉の接触圧の体内評価
Nickolas A Davies1, Mason G Johnson2, Abigail F Schirmer3
1Department of Anesthesiology, Duke University, Durham, North Carolina, USA.
まとめ
長期にわたる静脈管内置は,喉頭後部の内側管の圧力を大幅に増加させ,喉頭管狭窄症 (LTS) のリスクを高めます. この効果は女性の死体ではより顕著でした.
科学分野:
- 医学研究
- アナトミー
- 生理学
背景:
- 喉頭管狭窄症 (LTS) は,長期にわたる内腔管内術の既知の合併症である.
- COVID-19 パンデミックにより,長期にわたる機械呼吸器の使用が増加し,患者はしばしば横たわっています.
研究 の 目的:
- エンドトラケア管の圧力の上での 横横の位置の物理的効果を調査する.
- 患者の位置づけとLTSのリスクとの相関を調査する.
主な方法:
- ティールで埋葬された2人の死体 (男性と女性) を利用した.
- 腸内管が後頭部に及ぼす力を測定するために,新しい圧力センサー装置を使用した.
- 仰向けと横向きの両方で圧力を記録する.
主要な成果:
- 両方の死体は,横たわっていた状態と,横たわっていた状態の平均高血圧を示した (P < .001).
- 女性の死体は 男性の死体と比較して 横から横に移動すると 圧力が大きく上昇した.
結論:
- 背中に横たわると 腸内管の圧力が大幅に増加します
- この高圧は,特に女性患者において,喉狭窄症の発生に寄与する可能性があります.
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