一个系统的审查和对随机对照试验的元分析 Supine vs. Nonsupine内管输入管的内管输入管的随机对照试验
Chriselyn F Palma1, Radwan Mashina2, Claire Chen1
1University of Las Vegas Nevada School of Medicine, 1707 W. Charleston Blvd Suite, 230 Las Vegas, NV 89102, USA.
通过比较输管位置,本次审查发现卧卧和非卧卧姿势之间的成功率没有显著差异. 然而,非吸管姿势在输管过程中出现不良事件的比率略高.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 紧急医疗 紧急医疗
背景情况:
- 输管定位对于气道管理至关重要.
- 证据比较卧卧和非卧卧的位置是多样化的.
- 需要进行系统审查,以整合发现.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT).
- 为了比较静坐与非静坐在输管过程中的安全性和有效性.
主要方法:
- 从创立到2020年10月的文献进行了搜索.
- 包括使用PRISMA和MOOSE协议的13个RCT.
- 使用随机效应模型计算聚合估计.
主要成果:
- 分析了13项涉及1916名患者的试验.
- 整体或首次试管成功率没有显著差异.
- 非松类药物出现的不良事件发生率略高.
结论:
- 坐卧和不坐卧的位置显示了可比的输管成功率.
- 无素位可能与不良事件的边际增加有关.
- 对最佳输管技术和位置的进一步研究是有必要的.
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