エソファゴガストロドゥオデノスコピー (EGD) を受けている低血量患者で,左側横向き対横向きの酸素化状態:安全か安全でないか?
Patrick Chan1, Jennifer Zhou2, Daniel Harrison3
1University of California Riverside School of Medicine, Riverside, CA, USA. chanpatrickmd@gmail.com.
Surgical endoscopy
|February 19, 2026
まとめ
エソファゴガストロドゥオデノスコピー (EGD) を受けている重度の肥満患者の場合,不計画な挿管に関して,横横の位置は,左側横の位置と同じくらい安全です. 低腰の位置を考慮し,より短い処置時間と酸素の需要の増加をバランスとすることができる.
科学分野:
- 胃腸内科 胃腸内科
- アネステシオロジー アネステシオロジー
- バリアトリック・メディシン
背景:
- 肥満患者の場合,食道・胃・小腸内視鏡検査 (EGD) の際に酸素化障害のリスクが高くなります.
- 患者のポジショニングは,EGD中の安全性と酸素供給に大きく影響しますが,減量症患者の左側側と横の位置を比較するデータはほとんどありません.
研究 の 目的:
- 病的な肥満患者のEGD中に,横横横横横横横の位置づけと,横横横横の位置づけの安全性および酸素化の効果を比較する.
- 患者の位置づけに基づいた計画外挿管率およびその他の重要なアウトカムを評価する.
主な方法:
- EGDを患った495人の成人患者 (BMI ≥35) を対象とした遡及的なコホート研究.
- 患者は,左側側 (グループ1) または仰向け/半フォウラー (グループ2) に分類された.
- プライマリアウトカム:計画外の挿管;二次アウトカム:処置時間,最大FiO2,および術後の酸素飽和度.
主要な成果:
- レプインと左横のグループ (両方とも0.4%) の間に計画外挿管率の有意な差はありません.
- 仰向け姿勢は, signicantly shorter procedure times (14.35 vs. 16.40 min) と関連していた.
- 仰向け姿勢では最大FiO2 (84.98%対78.08%) が高く,手術後の酸素飽和度も同様でした.
結論:
- 病的な肥満患者のEGD中にスプインポジショニングは,左側横向きのポジショニングと比較して,計画外の挿管のリスクを増加させません.
- 仰向け姿勢はより高い酸素のサポートを必要としながらも,処置時間を短くします.
- 仰向け姿勢は,EGDを患っている特定の肥満患者にとって,酸素供給のニーズが管理されている限り,実行可能な選択肢です.
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