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麦克格拉斯®与麦金托什喉腔镜对老年患者输管治疗的血液动力反应:一项随机临床试验

Salma Ketata¹, Mahdi Fourati¹, Rahma Derbel¹

¹Department of Anesthesiology and Intensive Care Unit, Habib Bourguiba University Hospital, Sfax, Tunisia.

The Pan African medical journal

|September 18, 2023

概括

与麦金托什喉镜相比,McGrath®视频喉镜在老年患者的气管输管过程中显著降低了血液动力学波动. 这种设备还降低了心室节律失常和手术后喉痛的发生率.

科学领域:

麻醉学麻醉学
关键护理医学关键护理医学
心血管生理学心血管生理学

背景情况:

众所周知,气管管道输液可以触发catecholamine的释放,从而导致血液动力学不稳定.
评估不同喉镜设备对血液动力学反应的影响对于患者安全至关重要,特别是在老年人群中.

研究的目的:

在老年患者中,使用麦格拉斯视频喉科镜与传统的麦金托什喉科镜对比口腔管道输液的血液动力学效应.
评估与每个装置相关的输管时间和并发症率.

主要方法:

一项前性随机临床试验,涉及老年患者接受预定手术,需要口腔内管.
患者被随机分为两个组:麦格拉斯视频喉镜 (V组) 和麦金托什喉镜 (M组).
血液动力学参数 (HR,SBP,DBP,MAP) 在基线和输管后1,3分钟和5分钟记录.

主要成果:

与麦金托什组 (M) 相比,麦克格拉斯®组 (V) 在输液后1分钟内,静脉压 (SBP),平均动脉压 (MAP) 和心率 (HR) 的增加明显较低.
使用麦金托什喉腔镜 (p≤0.001) 的输管时间显著延长 (p≤0.001).
腹腔失常的发生率在Macintosh组 (4vs0) 显着更高,手术后喉疼痛在McGrath®设备 (p=0.036) 中较少.

结论:

麦格拉斯®视频喉科镜有效地减轻了与老年人内内管管道输入相关的血液动力学波动.
在这种患者群体中,这种设备可能在减少心血管压力和呼吸道管理期间的并发症方面具有优势.

关键词:

麦金托什喉镜 (Macintosh laryngoscope) 是一款电脑上的喉镜.麦克格拉特®视频喉腔镜.在口腔内输管管道内进行口腔内输管.年长的病人,老年患者.

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