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相关概念视频

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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General Anesthesia: Overview01:24

General Anesthesia: Overview

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
245
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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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...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
348
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

886
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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在全身麻醉下进行支气管镜镜检查时,预防脱氧.

Asad Khan1, Sami I Bashour1, Roberto F Casal1

  • 1Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Journal of thoracic disease
|July 10, 2023
PubMed
概括

程序内,肺部在全身麻醉期间崩,经常发生在支气管镜检查期间. 战略正在出现,以防止这种并发症,提高导航和诊断产量.

科学领域:

  • 肺部病理学 肺部病理学
  • 麻醉学 麻醉学
  • 医疗成像医学成像

背景情况:

  • 甲状腺脱落是全身麻醉的一个已知的并发症.
  • 最近的研究表明,在全身麻醉下进行支气管镜检查时,手术过程中发生的高发病率 (高达89%) 是手术内脱氧.
  • 麻醉的持续时间和更高的体重指数 (BMI) 等因素有助于其发展.

研究的目的:

  • 审查在支气管镜镜检查期间发现的手术内脱氧的发现和意义.
  • 总结目前和新兴的减轻这种并发症的策略.

主要方法:

  • 在支气管镜镜检查期间对手术内脱氧的研究的文献综述.
  • 分析影响阿特莱克塔斯发展的因素.
  • 评估拟议的预防策略.

主要成果:

  • 在程序内发生的透症通过导致成像差异和遮蔽目标,显著影响了外围支气管镜检查.
  • 呼吸系统的策略已被证明是有效的,并且在减少脱氧症方面耐受良好.
  • 患者定位和手术前策略需要进一步调查.

结论:

关键词:
这种病是Atelectasis.支气管镜检查 (bronchoscopy) 是一种用来检查支气管.一般麻醉全身麻醉

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  • 支气管镜医生必须意识到手术内脱口症并实施预防措施.
  • 有效的策略,特别是通风策略,可以减轻这种并发症.
  • 对其他预防方法的进一步研究是有必要的.