在喷气通风中的血液动力学与喷气通风中的血液动力学比较. 间歇性呼吸暂停呼吸道狭窄手术
Leah Sax1, Shaan Sharma2, Jacob Benedict1
1Department of Otolaryngology, Eastern Virginia Medical School, Norfolk, Virginia, U.S.A.
The Laryngoscope
|September 19, 2023
概括
间歇通风无呼吸麻醉 (AAIV) 是用于内镜喉狭窄手术的安全有效的通风方法. 与喷气通风相比,它没有显示出血液动力学或操作时间的显著差异.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
背景情况:
- 内镜喉狭窄手术需要仔细的通风管理.
- 喷气通风是一种常见的技术,但正在探索替代方法.
研究的目的:
- 为了比较喷气通风的血液动力学影响和操作时间与间歇通风 (AAIV) 的呼吸暂停麻醉.
- 评估AAIV在接受内镜喉狭窄手术的患者的安全性和有效性.
主要方法:
- 对157名因喉狭窄而经历呼吸道扩张的患者的回顾性图表审查.
- 分析包括后勤回归,曼-惠特尼U测试和千平方分析.
- 在AAIV和喷气通风组之间比较了血液动力学结果 (高峰尾潮CO2,O2和度) 和手术时间.
主要成果:
- 在AAIV和喷气通风之间没有观察到血液动力学结果或总程序时间的显著差异.
- 在AAIV组的患者中,BMI 中位数显著更高.
- 较高的BMI与较低的中位数O2 nadirs相关,尽管不一定具有临床意义.
结论:
- AAIV是一种用于内镜喉狭窄手术的安全通风方法.
- AAIV提供与喷气通风相比较的血液动力学稳定性和运行效率.
- 对于接受这些手术的肥胖患者,AAIV是首选的通风方法.
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