胃灌气和手术视图根据腹腔镜胆囊切除术的口罩通风方法:一项随机对照研究
Yun Kyung Jung1, Cho Long Kim2, Mi Ae Jeong2
1Department of Surgery, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Republic of Korea.
BMC anesthesiology
|September 20, 2023
概括
在麻醉诱导期间的口罩通风不会增加胃灌气. 这项研究发现,在通风和非通风组之间,胃大小或外科视图没有显著差异.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 麻醉诱导期间的口罩通风旨在防止胃空气的流入.
- 实现空气流仅通过气管而没有胃膨胀是具有挑战性的.
- 胃 insufflation 在麻醉诱导期间是一个潜在的并发症.
研究的目的:
- 为了比较麻醉诱导期间胃灌气的变化,带有和没有口罩通风.
- 评估口罩通风对胃膨胀的影响.
- 评估通风策略在腹腔镜手术期间对外科视图的影响.
主要方法:
- 这是一项针对230名患者的前性随机单盲研究.
- 两个组:在诱导过程中面罩通风 (通风组) 和不通风 (呼吸暂停组).
- 用超声波测量胃横截面积 (CSA);手术视图由外科医生进行分级后的肺膜外皮.
主要成果:
- 在通风和呼吸暂停组之间,诱导后 antral CSA 增加没有显著差异 (p=0.225).
- 超声波测量显示,两个组的胃区域变化最小且可比.
- 外科医生的分级显示,胃内气不通没有显著差异,影响了两组之间的外科视图.
结论:
- 两分钟的压力控制面具通风 (15cmH2O) 并没有增加胃腹腔CSA.
- 通风策略没有导致胃 insufflation 增加影响了腹腔镜外科视图.
- 麻醉诱导期间的口罩通风在胃膨胀方面似乎是安全的.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
112
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
112
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
20
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
20
Cardiopulmonary Resuscitation II: ACLS Airway Management
19
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
19


