使用视频进行输入管术的首次成功相比,在部移动性有限的儿童中使用直接喉腔镜
Dilruba Khanam1, Elizabeth Schoenfeld1, Julien Ginsberg-Peltz1
1From the Department of Emergency Medicine, UMass Chan Medical School-Baystate, Springfield, MA.
Pediatric emergency care
|September 26, 2023
概括
视频喉腔镜 (VL) 和直接喉腔镜 (DL) 显示,首次通道成功率对于部移动性有限的儿童来说是相似的. 这项研究发现,在这个儿科群体中,这两种方法之间的输管成功或不良事件没有显著差异.
科学领域:
- 儿科急救医学 儿科急救医学
- 航空航道管理的管理.
- 麻醉学 麻醉学
背景情况:
- 部的有限移动性在儿科输管治疗中带来了挑战.
- 在这个人群中,视频喉腔镜 (VL) 与直接喉腔镜 (DL) 的比较疗效尚未得到充分证实.
研究的目的:
- 为了确定VL是否与首次通过成功率较高,与DL相比,在儿童患者的部运动受限.
- 分析与每种喉腔镜方法相关的不良事件.
主要方法:
- 这是一项回顾性队列研究,利用来自两个多中心气道管理安全数据库 (2013-2018) 的数据.
- 包括儿童患者 (<18岁) 部移动性有限,接受急诊室输管治疗.
- 比较了VL和DL之间的第一次通过成功率和不良事件,使用结构性因果模型控制混因素.
主要成果:
- 总共有341次儿科输管符合纳入标准 (168次VL,173次DL).
- 在VL (79.8%) 和DL (75.7%) (P=0.44) 之间没有观察到第一次通过成功率的显著差异.
- 在对混因子进行调整后,VL与更高的第一通成功率无关 (OR,1.11;95% CI,0.84-1.47). 不良事件的发生率也没有显著差异.
结论:
- 无论是视频喉腔镜还是直接喉腔镜,都没有在急诊室接受气管管道输入术的,部移动性有限的儿科患者中显示出更高的第一通关成功率.
- 在这个特定的儿科亚组中,选择喉镜法并没有显著影响输管成功或不良事件.
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