[伤气管狭窄症. 伤气管狭窄症. 预防是否可能? 一个单一区域的经验]
I Ya Motus1, O S Konstantinova2, N A Giss2
1Ural Research Institute for Phthisiopulmonology, Ekaterinburg, Russia.
Khirurgiia
|June 14, 2023
概括
机械通风和气管切除术后的定期随访可以预防严重的气管狭窄. 早期内镜治疗是有效的管理呼吸道并发症在通风患者.
科学领域:
- 肺部病理学 肺部病理学
- 临界护理医学 临界护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 长时间的机械通风和气管切除术与气管狭窄症有关.
- 气管狭窄可以导致显著的发病率,需要复杂的干预措施.
研究的目的:
- 建立预防和治疗长期机械通风患者气管狭窄症的措施.
- 为了比较分阶段内镜随访与没有随访在管理气管狭窄症的结果.
主要方法:
- 对290名长期使用机械通风的患者进行分析,分为后续监测组 (n=149) 和无后续监测组 (n=141).
- 干预包括内镜治疗,气管切除和重建性手术.
- 阶段内镜后续检查是在I组进行的.
主要成果:
- 气管狭窄发生在后续组的18.8%,早期阶段通过内镜治疗有效管理 (85.7%的成功率).
- 没有随访的组主要需要手术 (切除或重建手术),康复率较低 (34.2%) 和并发症率较高 (24.6%).
- 在没有随访组的术后死亡率在循环切除后为2.7%.
结论:
- 机械通风和气管切除术后的结构化后续方案对于预防严重的气管狭窄至关重要.
- 早期检测和内镜干预显著改善了气道狭窄的结果.
- 积极的管理策略对于减少并发症和改善患者康复至关重要.
更多相关视频
04:43Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
667
09:10Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
Published on: January 20, 2010
14.0K
相关概念视频
Trachea
2.3K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.3K
Tracheostomy: Procedure and Tubes
778
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
778
Tracheostomy Care I: Pre-procedural Steps
257
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
257
Tracheostomy Decannulation
258
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
258
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
23
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...
23
Oxygen Delivering System III: Tracheostomy and T-piece
1.4K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
1.4K
