评估STOP-Bang得分与氧气储备指数和呼吸道困难之间的关系:一项前性观察研究
Ilka D Alp1, Bengü G Köksal1, Keziban Bollucuoğlu1
1Zonguldak Bülent Ecevit University Medical School, Department of Anesthesiology and Reanimation, Zonguldak, Turkey.
Brazilian journal of anesthesiology (Elsevier)
|July 30, 2023
概括
氧气储备指数 (ORi) 可以帮助预测缺氧,并确定阻塞性睡眠呼吸暂停 (OSA) 风险的患者的困难呼吸道. 监测ORi可能会改善这些患者的外科手术期间的氧化管理.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
- 关键护理医学 关键护理医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 患者表现为外科手术期间的低通风,缺氧和高心血.
- 通过STOP-Bang问卷识别患有OSA风险的患者.
研究的目的:
- 调查氧气储备指数 (ORi) 是否可以预测缺氧.
- 为了确定ORI是否可以在患有OSA风险的患者中识别困难的呼吸道.
主要方法:
- 对成人患者进行选择性手术的前性研究,使用全身麻醉和内内管管道输入.
- 患者分为低风险 (0-2分) 和高风险 (3-8分) 的STOP-Bang分数.
- 在四个外科手术时间点测量ORi值和部分氧气压.
主要成果:
- 高风险的OSA患者显示了较低的手术前氧气和和ORI值.
- 在氧化前期达到最高ORI的时间在高危人群中较长.
- 在高危人群中,在T3和T4观察到较低的ORI值.
结论:
- ORi监测有助于评估OSA患者的氧化水平.
- ORi可以帮助管理潜在的缺氧状况,特别是在呼吸道困难的患者中.
- 这种监测工具可以增强OSA患者的术后护理.
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