鼻腔镜可以预测困难的视频喉腔镜:一个多变量模型开发研究
Phillip Brenya Sasu1, Jennifer-Isabel Pansa1, Rupert Stadlhofer2
1Department of Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
Journal of clinical medicine
|May 27, 2023
概括
过鼻视频内镜 (TVE) 增强了难以预测的呼吸道. 手术前的TVE,结合简化气道风险指数 (SARI),提高了识别需要先进气道管理的患者的准确性.
科学领域:
- 麻醉学和气道管理
- 耳鼻喉科和头部和部手术
背景情况:
- 过鼻视频内镜 (TVE) 是用于喉损伤分期的标准.
- 预测难以实现的视频喉腔镜输管术对于患者的安全至关重要.
- 现有的风险指数可能无法完全捕捉到气道的复杂性.
研究的目的:
- 评估手术前的TVE是否能改善难以预测的视频喉腔镜输内管道.
- 评估TVE超出简化气道风险指数 (SARI) 的附加值.
- 为了确定与输管困难相关的特定TVE发现.
主要方法:
- 前性研究包括374种麻醉剂 (252种手术前的TVE).
- 主要结果:在Macintosh视频喉腔镜检查后出现呼吸道困难警报.
- 多变量逻辑回归 (LASSO选择) 使用SARI,临床因素和TVE发现.
主要成果:
- 萨里预测难以输入管道 (OR 1.33).
- 添加TVE参数显著改善了预测模型的合适性 (AIC 311.0与单独SARI的327.1相比,p <0.001).
- 喉分泌保留和限制的视视野是显著的预测因素.
结论:
- 手术前的TVE显著提高了难以预测的视频鼻镜的预测能力.
- TVE提供了比传统的床边呼吸道评估更有价值的信息.
- 整合TVE发现改善了手术前的气道风险分层.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
240
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
240
Endoscopic Procedures III: Video Capsule Endoscopy
216
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
216
Endoscopic Studies II: Thoracocentesis
363
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
363
Endoscopic Procedures I: Esophagogastroduodenoscopy
231
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
231
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
131
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
131
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
27
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
27


