新生儿稳定和运输中的喉膜呼吸道:一项回顾性研究
Francesco Cavallin1, Laura Brombin2, Marialuisa Turati2
1, Solagna, Italy.
European journal of pediatrics
|July 4, 2023
概括
新生儿在运输过程中使用喉膜呼吸道 (LMA) 很少,但越来越多,在紧急情况下被证明是安全和救生. 这种气道管理技术对于新生儿的复苏和稳定至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 儿科急救医学 儿科急救医学
- 航空航道管理的管理.
背景情况:
- 像喉膜口罩气道 (LMA) 这样的超节气道装置可以替代新生儿复苏中的口罩通风和内管道输入.
- 在具有有限的气道管理专业知识的较低级别医院可以考虑使用LMA,尽管证据很少.
研究的目的:
- 审查使用LMA用于稳定和运输新生儿的情况.
- 评估LMA的安全性和有效性,在一大批正在接受医院间转移的重病新生儿中进行评估.
主要方法:
- 一项回顾性研究分析了来自东威尼托新生儿紧急运输服务的数据 (2003年1月至2021年12月).
- 从运输登记册,表格和医院病历中提取了新生儿在紧急运输期间通过LMA接受正压通风的数据.
主要成果:
- 在3252名 (2%) 转移新生儿中,64例使用了喉膜呼吸道 (LMA),随着时间的推移有显著的增加趋势 (p=0.001).
- 大多数新生儿 (97%) 在产后因呼吸道或神经疾病 (95%) 转移.
- 没有报告与设备相关的不良事件;95%的新生儿存活下来.
结论:
- 新生儿运输中LMA的使用并不频繁,但在不断增长,在参考中心之间存在差异.
- LMA证明是安全和有效的,特别是在"不能输管,不能氧化"的场景中.
- 建议进行进一步的前性多中心研究,以阐明新生儿需要产后运输的LMA实用性.
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