从全身麻醉中出现的动态声带行为和斯特里多尔在患有supraglottic气道的小孩的全身麻醉
Katsuhiko Ishibashi1, Yuji Kitamura2,3, Shinichiro Kato2,4
1Department of Anesthesiology, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan. katsu1484@gmail.com.
Journal of anesthesia
|June 16, 2023
概括
在麻醉出现期间使用上气道 (SGA) 的儿童中,斯特里多与声带 (VC) 狭窄有关. 这种狭窄可以导致暂时的类似于声的声音,突出了儿科呼吸道管理中的一个常见问题.
科学领域:
- 麻醉学 麻醉学
- 儿科的气道管理.
- 喉腔病理学 喉腔病理学
背景情况:
- 斯特里多是一种常见的并发症,在儿童出现麻醉后出现的supraglottic气道 (SGA).
- 在此期间,斯特里多和声带 (VC) 行为的精确机制尚不清楚.
研究的目的:
- 为了研究声带 (VC) 运动模式,在从麻醉中出现的儿科患者中使用SGA管理.
- 为了澄清这个人群在麻醉后康复期间喉气道维护的功能.
主要方法:
- 对27名麻醉儿童的观察数据的二次分析.
- 同时记录内镜VC图像,生命体征,呼吸变量和声音.
- 测量吸入和呼出VC角度,以评估收窄和扩张.
主要成果:
- 在15名儿童中观察到启发性VC缩小,而在12名儿童中观察到扩张.
- 患有VC收窄的儿童在第一次呼吸后一分钟获得了更大的潮体积.
- 五名儿童 (19%) 呈现出类似于斯特里多的声音,与启发性VC收窄相吻合.
结论:
- 喉狭窄在麻醉出现期间,大约一半患有SGA的儿科患者的频繁发生.
- 暂时的类似于斯特里多尔的声音相对比较常见,并与鼓舞声带收窄有关.
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