评估马拉拉帕蒂类在患有腰椎手术的患者的变化:一个前性观察性研究
Dheeraj Singha1, Milind Masuta Kattimani2, Manjeet Kanwar3
1Department of Anaesthesia, Dr. RPGMC Tanda, Kangra, Himachal Pradesh, India.
Saudi journal of anaesthesia
|June 1, 2023
概括
患有斜卧腰椎手术的患者经历了修改的Mallampati类 (MMC) 的暂时增加,这表明手术后可能出现呼吸道困难. 通常情况下,MMC在36小时内恢复到基线,需要仔细的术后气道管理.
科学领域:
- 麻醉学 麻醉学
- 外科手术患者管理
背景情况:
- 在手术期间倾斜的位置可能会导致呼吸道胀,增加呼吸道困难和再输管的风险.
- 修改后的马拉拉帕蒂类 (MMC) 是呼吸道困难的预测指标.
研究的目的:
- 为了评估在腰椎脊椎手术的患者中修改的Mallampati类 (MMC) 的变化.
- 评估MMC在术后恢复到基线的持续时间.
主要方法:
- 对80名接受腰椎手术的患者进行前性观察性研究.
- 在手术前和手术后长达48小时评估的MMC.
- 记录了MMC恢复到基线和任何呼吸道并发症的时间.
主要成果:
- 在91%的患者中观察到一级的MMC增加.
- 74%的患者在18小时内恢复了MMC的基线,16%的患者在24小时内恢复了MMC,10%的患者在36小时内恢复了MMC.
- 没有发现MMC变化与手术持续时间,液体管理或血液损失之间的显著相关性.
结论:
- 卧卧的腰椎手术可以导致MMC的暂时,一级下降,在36小时内消失.
- 这种短暂的MMC变化值得谨慎对待,因为手术后可能增加复杂的再化风险.
- 术内因素没有显著影响观察到的MMC变化.
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