儿科腹腔镜外科手术的气管管与气管管相比 - 一个系统的审查和元分析
相关实验视频
Updated: Jul 25, 2025

08:26
The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
6.4K
Anjishnujit Bandyopadhyay1, Sunaakshi Puri2, Vighnesh Ashok2
1Department of Anaesthesiology, Pain Medicine and Critical Care, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Paediatric anaesthesia
|June 30, 2023
概括
在儿科腹腔镜外科手术中,supraglottic设备提供了与气管管道相似的通风. 它们还可以减少喉疼痛和加速恢复,尽管证据质量很低.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 航空航道管理的管理.
背景情况:
- 气管是小儿腹腔镜手术的标准.
- 超节器件是新兴的替代品.
- 对比性能数据有限.
研究的目的:
- 在儿科腹腔镜外科手术中比较supraglottic设备和气管.
- 评估关键的呼吸和恢复参数.
主要方法:
- 随机对照试验的系统审查和元分析.
- 包括经过腹腔镜手术的18岁以下的患者.
- 分析了气道峰值压力,潮尾二氧化碳,恢复时间,喉疼痛和不良事件.
主要成果:
- 气道峰值压力或潮结束时的二氧化碳没有显著差异.
- 气管与手术后喉疼痛的可能性更高.
- 与更快的恢复时间相关的supraglottic设备.
- 证据质量很低. 证据质量很低.
结论:
- 超管装置可以提供与气管管道相似的通风.
- 超节器件显示了减少喉疼痛和更快恢复的潜力.
- 由于证据的确定性较低,需要进一步研究.
相关概念视频
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
21
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...
21
Tracheostomy: Procedure and Tubes
766
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...
766
Endotracheal Intubation I: Procedure
1.8K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.8K
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
Tracheostomy Suctioning I: Pre-Procedural Steps
692
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
692
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
716
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
716

