超鼻化快速吸气通风交换与常规面罩在快速序列诱导过程中为氧化前呼吸进行氧化
Diksha Karlupia1, Kamakshi Garg1, Richa Jain1
1Anaesthesiology, Dayanand Medical College and Hospital, Ludhiana, IND.
Cureus
|September 8, 2023
概括
透鼻加湿快速吸气通风交换 (THRIVE) 是紧急手术的安全预氧化方法. 在快速序列诱导 (RSI) 过程中保持氧气水平方面,它与传统面具相美.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
- 紧急医疗 紧急医疗
背景情况:
- 透鼻加湿快速吸气通风交换 (THRIVE) 可能在紧急手术前氧化期间延长安全的呼吸暂停时间.
- 这种技术可能会在快速序列诱导 (RSI) 过程中减少脱度事件.
研究的目的:
- 为了比较THRIVE与常规面罩在急诊手术患者的RSI期间的氧化前治疗的疗效.
- 评估THRIVE作为在全身麻醉中使用的预氧化工具.
主要方法:
- 接受紧急腹腔皮层手术的80名患者被随机分为两个氧化前组:THRIVE (高流量鼻) 或常规面罩.
- 氧化水平 (PaO2,SpO2),呼吸暂停时间,输管尝试和不良事件都记录在RSI和输管后.
主要成果:
- 在PaO2,最低SpO2,呼吸暂停时间,输管试验或不良事件中,在THRIVE和面罩组之间没有发现统计学上显著的差异.
- 这两种预氧化方法在这个紧急手术队列中都显示出可比的安全性和有效性.
结论:
- THRIVE是一种安全,实用和有效的预氧化工具,用于紧急手术期间的全身麻醉.
- 虽然THRIVE并不优于传统的面膜,但它为RSI中预氧化提供了可行的替代方案.
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