高流量鼻与喉外科手术中的传统通风:系统性审查和元分析
Kai Chun Chan1, Timothy Xianyi Yang1, Kin Fai Khu2
1Department of Anaesthesiology and Operating Theatre Services, Queen Elizabeth Hospital, Kowloon, HKG.
Cureus
|June 7, 2023
概括
高流量鼻腔管 (HFNC) 可以在喉手术期间保持氧化,减少手术时间. 然而,由于HFNC的脱度增加,常规通风与气管管道输入可能更安全.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 高流量鼻腔管 (HFNC) 是用于喉手术的传统通风的新兴替代方案.
- 与气管管道输入和喷气通风 (JV) 相比,关于HFNC的安全性和有效性的数据有限.
研究的目的:
- 系统地审查和比较HFNC与气管管道输入和JV在喉手术期间的氧化.
- 汇总有关不同通风方法安全性和有效性的现有证据.
主要方法:
- 观察性和比较性研究的系统审查和元分析.
- 搜索了多个数据库,包括PubMed,MEDLINE,Embase,谷歌学者,科克兰图书馆和科学网.
- 使用ROBINS-I,RoB2和JBI关键评估检查清单进行评估的偏差风险.
主要成果:
- 包括43项研究与8064名患者;14个HFNC,22个JV,7个比较.
- HFNC (THRIVE) 减少了手术持续时间,但增加了脱和需要救援干预与传统通风相比.
- 联合企业的安全性与HFNC相美.
结论:
- 在精选的喉手术患者中,HFNC可能对氧化有效,从而缩短手术时间.
- 传统的通风与气管管道输入可以提供更高的安全性.
- 在这种情况下,JV的安全性与HFNC相提并论.
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