气道管理:视频鼻镜的当前作用
Sophie A Saul1, Patrick A Ward1, Alistair F McNarry1,2
1St. John's Hospital, Howden West Road, NHS Lothian, Livingston EH54 6PP, UK.
Journal of personalized medicine
|September 28, 2023
概括
与直接喉腔镜相比,视频laryngoscopy提供了更好的患者结果和呼吸道管理. 尽管有证据,但其采用受到成本,培训和后勤方面的担忧的阻碍.
科学领域:
- 麻醉学 麻醉学
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
背景情况:
- 气道管理对于患者的安全至关重要.
- 呼吸道管理过程中的并发症可能会导致严重伤害.
- 视频喉腔镜比传统的直接喉腔镜更为先进.
研究的目的:
- 审查目前支持视频喉科镜的证据.
- 探索视频耳鼻喉镜利用的范围.
- 确定视频喉科镜采用的障碍,并建议未来的研究.
主要方法:
- 关于视频鼻镜最近证据的文献综述.
- 分析当前的临床实践和指导方针.
- 讨论影响采用和未来方向的因素.
主要成果:
- 视频喉腔镜改善了第一通输管成功,减少了难以看到的视图,氧气脱和呼吸道创伤.
- 使用视频喉科镜的共享可视化可提高教学和团队表现.
- 尽管有好处,视频鼻镜的使用落后于其可用性,原因是各种障碍.
结论:
- 视频鼻镜被推作为空气管道管理中的第一意图技术.
- 采用障碍包括成本,培训,净化,可持续性和感知到的限制.
- 需要进一步的研究和进步,以促进更广泛的视频鼻镜整合.
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