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耳鼻喉外科手术中内管袖口的压力变化:一项前性观察性研究
Sujung Park1, Young In Kwon1, Hyun Joo Kim1
1Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Frontiers in medicine
|June 21, 2023
概括
在耳鼻喉科手术期间,内管袖口压力往往偏离理想范围. 持续监测对于预防呼吸道并发症和确保患者安全至关重要.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 保持适当的内管袖口压力对于通风和预防呼吸道并发症至关重要.
- 手首压力偏差可以在手术期间导致严重的不良事件.
研究的目的:
- 在耳鼻喉科手术期间评估内管袖口压力变化.
- 确定导致压力波动的因素,并评估治疗范围内的时间 (TTR).
主要方法:
- 一个单一中心的观察性研究,涉及199名接受耳鼻喉科手术的成年患者.
- 通过连接到飞行员气球的压力传感器,持续监测内管袖口压力.
- 如果在适当范围之外超过5分钟,则进行袖口压力调整;计算TTR.
主要成果:
- 96%的患者经历了适当范围之外的袖口压力.
- 平均TTR为79.7%,头部和部手术显示TTR最低 (69.0%).
- 影响压力的因素包括位置变化,手术特征,解剖学操纵和麻醉程序.
结论:
- 在耳鼻喉科手术过程中,内管袖口压力经常波动超出推范围.
- 对于这些手术,在麻醉期间建议密切,持续地监测袖口压力.
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