带内管的儿科应用
Jung Heon Kim1, Jung Hwan Ahn1, Yun Jeong Chae2
1Ajou University School of Medicine, Department of Emergency Medicine, Suwon, Korea.
The western journal of emergency medicine
|June 6, 2023
概括
现在建议为儿童使用带袖口的内管 (ETT). 对儿科呼吸道解剖学的最新知识和改进的管道设计支持使用手式ETT,减少空气泄漏和吸入风险.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 儿科气道解剖学 儿科气道解剖学
- 医疗器械技术 医疗器械技术
背景情况:
- 从历史上看,无袖内管 (ETT) 是儿科患者的标准,因为在状软骨处感知到最窄的点.
- 这种解剖学信念限制了袖口ETT的采用,尽管它们在减少空气泄漏和吸入方面具有潜在的好处.
- 对早期手式ETT设计技术方面的担忧也导致其在儿童中的有限使用.
研究的目的:
- 审查对儿科喉解剖学的不断发展的理解.
- 为了突出带内管 (ETT) 技术的进步.
- 为当前建议在儿科患者中使用手式ETT提供理由.
主要方法:
- 关于儿科喉解剖学的历史信仰的审查.
- 分析了20世纪90年代后期的麻醉学研究,支持使用手式ETT.
- 检查基于成像的研究,以澄清儿科喉形状和自2000年代以来最窄的点.
- 评估式ETT设计,尺寸和材料的技术改进.
主要成果:
- 图像研究显示,儿科喉在喉最窄,圆形,圆柱形,而不是形.
- 技术进步改善了手式ETT的设计,尺寸和材料.
- 目前的证据支持儿童群体手式ETT的安全性和有效性.
结论:
- 更新的解剖学知识和改进的手ETT技术为儿童的使用提供了强有力的理由.
- 美国心脏协会现在建议儿童使用手式ETT.
- 手式ETT提供了显著的好处,包括降低了儿科患者的空气泄漏和吸气风险.
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