高流量鼻腔管和常规鼻腔管在内镜下膜剖析镇静期间的比较:一项回顾性研究
Seungwon Lee1, Ji Won Choi2, In Sun Chung1
1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Therapeutic advances in gastroenterology
|September 1, 2023
概括
高流量鼻 (HFNC) 与传统鼻相比,在内镜下粘膜剖析深度镇静期间改善了氧化. 然而,HFNC与增加的术后异常有关.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 高流量鼻腔管 (HFNC) 以高流量输送加热,加湿的气体.
- HFNC是一种新的呼吸辅助方法.
研究的目的:
- 为了比较HFNC与常规鼻腔管 (NC) 在内镜下粘膜解剖 (ESD) 深度镇静期间的疗效.
- 评估氧化,救援干预的需要,以及ESD患者的不良事件.
主要方法:
- 一项回顾性观察队列研究分析了159名在深度镇静下接受ESD的患者.
- 患者接受了HFNC (组HF) 或常规NC (组CO).
- 较低的氧和 (SpO2),缺氧发生率,救援干预和不良事件进行了比较.
主要成果:
- 与CO组 (p < 0.001) 相比,HF组显示出显著更高的最低SPO2 (95.7%vs90.3%) 和较低的缺氧发生率 (11.4%vs35.2%).
- 在HF组中,救援干预的频率较低.
- 然而,HF组的术后胸部X射线异常发生率较高 (29.5%对11.3%,p = 0.005).
结论:
- 在ESD深度镇静过程中,HFNC确保了足够的氧化和程序稳定性.
- 由于潜在的并发症,建议谨慎使用,特别是在困难的病变.
- 可能需要进一步的研究来了解HFNC增加的放射性发现的含义.
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