在手动直线稳定下视频鼻镜输管过程中,宫脊椎运动中的直接或间接上垂体升高:一项随机对照试验
Seungeun Choi1, Dong Ju Lee1, Kyung Won Shin1
1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.
BMC anesthesiology
|September 7, 2023
概括
在视频鼻镜输管过程中直接升高表皮,与间接升高相比,在头-C1减少了椎脊柱的运动. 这一发现对于在呼吸道管理期间的患者安全至关重要.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 紧急医疗 紧急医疗
背景情况:
- 视频鼻镜是气道管理的一个关键技术.
- 升高表腔膜的方法可以影响喉视觉化和患者的结果.
- 手动在线稳定对于椎脊柱的保护至关重要.
研究的目的:
- 为了比较视频鼻喉镜输管术期间的宫脊柱运动,使用直接与间接的表皮节升高.
- 为了评估不同的表皮膜升高技术对输管性能的影响.
- 在这种情况下,确定最大限度地减少椎脊柱运动的最佳方法.
主要方法:
- 一项随机对照试验,涉及102名接受视频鼻镜输管治疗的患者.
- 使用C-MAC D-刀片直接与间接的表皮膜升高的比较.
- 测量椎脊柱运动 (头-C1,C1-C2,C2-C5) 和输管参数.
主要成果:
- 直接升高上衣显著减少了椎脊柱在头-C1的运动 (P=0.011).
- 在C1-C2和C2-C5.5时没有观察到运动的显著差异.
- 输管成功率在两组均为100%;然而,直接升高的输管时间更长 (P<0.001).
结论:
- 在视频喉科透视输管过程中,通过手动在线稳定,在最大限度地减少头-C1椎脊柱运动方面,直接升起上衣是优越的.
- 这种技术可能会提高椎损伤患者的安全性.
- 进一步的研究可能会探索通过直接升高技术优化输管时间.
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