在全身麻醉期间牙损伤
João M Neto1, Ana Rita Teles2,3, Joselina Barbosa3
1School of Dentistry, University Institute of Health Sciences (IUCS), Cooperativa de Ensino Superior Politécnico e Universitário (CESPU), 4585-116 Gandra PRD, Portugal.
在麻醉期间牙受伤很常见,特别是在先进的呼吸道管理中. 麻醉科医生必须了解患者的牙,以尽量减少与气管管道输入和喉膜呼吸道放置相关的风险.
科学领域:
- 麻醉学 麻醉学
- 牙科医学 牙科医学
- 患者安全 患者安全
背景情况:
- 麻醉期间的牙损伤,尤其是先进的呼吸道管理,带来了法律挑战.
- 糟糕的牙状况和过度的输管压力是导致因素.
- 大中央切口器经常受伤.
研究的目的:
- 为了确定在麻醉期间需要呼吸道管理的成年患者中牙损伤的发生率.
主要方法:
- 在主要数据库 (MEDLINE,PubMed,Scopus,LILACS,SciELO) 进行了全面的文献搜索,截至2022年12月.
- 纳入标准集中在成人患者 (≥18岁) 接受全身麻醉,并进行气管输入或喉膜气道插入.
主要成果:
- 在审查的文章中,有9篇报道了与呼吸道管理技术相关的牙损伤.
- 只有一篇文章没有发现与手术相关的牙损伤.
结论:
- 尽管采取了预防措施,但在全身麻醉期间仍然会出现牙损伤.
- 喉腔镜检查,特别是对上部中心切口器施加压力时,可能会导致牙损伤.
- 麻醉科医生必须对牙创伤保持警,系统地评估牙以获得最佳的呼吸道管理方法.
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