距离内内管的旋转角度的差异通过鼻腔接近
Masanori Tsukamoto1, Maho Goto2, Takashi Hitosugi2
1Department of Dental Anesthesiology, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan. tsukamoto@dent.kagoshima-u.ac.jp.
BMC anesthesiology
|August 11, 2023
概括
在鼻腔输管过程中,内内管 (ETT) 和光纤镜的同时旋转会导致ETT的旋转减少.
科学领域:
- 麻醉学 麻醉学
- 医疗器械 医疗器械
- 手术技巧 手术技巧
背景情况:
- 使用光纤视野镜进行鼻腔输管是常见的手术.
- 由于鼻腔中的旋转阻力,导致内内管 (ETT) 推进出现困难.
- 优化ETT和探针旋转对于成功的鼻腔输管至关重要.
研究的目的:
- 为了调查鼻腔输管过程中ETT和光纤镜之间旋转角度的差异.
- 分析ETT大小如何影响旋转差异.
- 为改善鼻腔输管技术提供见解.
主要方法:
- 一项前性观察性研究,涉及39名接受鼻腔输管治疗的患者.
- 根据ETT内部直径 (6.5,7.0,7.5毫米) 将患者分为三组.
- 在90°和180°进行了近端ETT和视野镜的同时旋转,通过视频喉镜监测远端ETT旋转.
主要成果:
- 远距离ETT旋转在90°和180°的近距离旋转 (p <0.05) 明显小于近距离旋转.
- 在180度旋转时,较大的ETT (7.5毫米) 与较小的ETT (p <0.05) 相比,远端旋转显著减少.
- 鼻腔通道阻力导致ETT落后于应用的旋转.
结论:
- 在鼻腔输管过程中,ETT和光纤镜的同时旋转导致ETT的有效旋转减少.
- 更大的直径ETT由于鼻腔通道阻力而经历更大的旋转滞后.
- 了解这种差异是完善鼻腔输管程序和预防并发症的关键.
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