在儿童中,使用数字触摸精确识别穿皮气管切口插入部位
Cengizhan Kilicaslan1, Ekin Guran2, Onur Karaca3
1Department of Pediatrics, Aksaray University, Faculty of Medicine, Aksaray-Türkiye.
概括
在使用数字触摸的5至13岁儿童中,医生在识别皮肤通道气管切除术 (PT) 插入部位的准确性仅为50.9%. 增加的BMI与更高的失败率相关,这表明术前超声波可能会改善里程碑识别.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗程序安全 医疗程序安全
- 诊断成像技术 诊断成像技术
背景情况:
- 透皮气管切除术 (PT) 在通风儿科重症监护室患者中很常见.
- 在PT期间可能会出现严重的并发症,特别是在儿童中.
- 准确地标识别对于安全的PT程序至关重要.
研究的目的:
- 评估医生在识别PT插入部位的准确性通过数字触摸在5-13岁儿童.
- 将数字触摸与超声波检测结果进行比较,以确定PT部位的定位.
- 确定影响PT部位选择数字触摸精度的因素.
主要方法:
- 医生通过数字触摸来识别气管环之间的针入口点.
- 超声波 (USG) 用于扫描部并确定实际插入位置.
- 精度被定义为在正确的气管环间隙和中线内的触摸部位.
主要成果:
- 数字触摸仅在50.9%的儿科患者中准确识别了PT插入部位.
- 对PT入口点的超声波测定比触摸 (114.7比43.8秒) 时间要长得多.
- 较高的体重指数 (BMI) 和较低的皮肤与空气粘膜距离增加了触摸失败的风险.
结论:
- 在使用数字触摸的5至13岁儿童中,医生在确定PT插入部位方面存在重大不准确性.
- 增加的BMI与PT位点识别数字触摸失败的风险更高有关.
- 术前超声波可能有助于识别里程碑,并提高儿童PT的安全性.
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