在门诊微喉手术后检查再入院
Mausumi N Syamal1,2, Hope Kincaid3, Alison Sutter3
1Division of Otolaryngology-Head and Neck Surgery Lehigh Valley Health Network Allentown Pennsylvania USA.
Laryngoscope investigative otolaryngology
|August 25, 2023
概括
微喉手术后的再入院并不常见,但确实发生. 气道手术,吸烟和更长的手术时间显著增加了再接收风险,有助于改善手术护理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 微喉手术是各种喉疾病的常见手术.
- 了解再接收率和相关风险因素对于提高患者护理和外科手术质量至关重要.
- 现有的文献提供了有限的数据,特别是在微喉手术后的再入院.
研究的目的:
- 调查门诊微喉手术后再入院的发生率.
- 确定与再入院率增加相关的特定外科和患者相关因素.
- 假设呼吸道外科手术程序会显示出更高的再接收率.
主要方法:
- 对2018年5月1日至2022年11月27日期间进行的门诊微喉手术进行了回顾性审查.
- 分析了480项手术,以确定在术后30天内重新入院的情况.
- 患者人口统计数据,并发症,手术细节和手术时间的比较,以确定风险因素.
主要成果:
- 在480项手术中,共有19项 (4.0%) 导致了再入院,其中9项 (1.9%) 是为了治疗喉狭窄症.
- 呼吸道外科手术与再入院有显著的相关性 (p = .002),增加了5.99.9的几率.
- 当前/前吸烟状态 (几率比[OR]=4.50) 和每增加一分钟的手术时间 (OR=1.03) 也显著增加了再接收几率.
结论:
- 微喉手术后的再入院,虽然不常见,但是一个重要的考虑因素.
- 识别风险因素,如气道干扰,吸烟和手术持续时间,是改善手术结果的关键.
- 这项研究强调了有针对性的干预措施的必要性,以减轻微喉外科手术中的再接收风险.
相关概念视频
Suctioning the Nasopharyngeal Airway
504
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
504
Tonsillitis II: Management
134
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
134
Endotracheal Tube Extubation
848
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....
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....
848
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
115
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...
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...
115
Tracheostomy Suctioning II: Procedure
328
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
328
Tracheostomy Decannulation
236
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
236


