通过术前基于超声波的气道参数测量来预测困难的气道:一项前性观察性研究
Vaishali Waindeskar1, Sri Rama Ananta Nagabhushanam Padala1, Shikha Jain1
1Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Indian journal of anaesthesia
|October 13, 2023
概括
超声波可以帮助预测困难的呼吸道. 从皮肤到甲状腺峡的距离是一个有希望的超声波测量,用于在手术前识别潜在困难的呼吸道患者.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
背景情况:
- 超声波是空气道评估的一个新兴工具.
- 它对困难的气道的预测价值需要进一步调查.
研究的目的:
- 为了评估手术前部超声波在预测困难的气道的准确性.
- 评估在全身麻醉下接受选择性手术的患者.
主要方法:
- 包括114名接受选择性手术的成年患者.
- 手术前的超声波测量包括皮肤到状腺骨的距离,皮肤到甲状腺脉的距离,以及舌头底部的厚度.
- 确定了困难的气道,并使用接收器操作特征曲线评估诊断值.
主要成果:
- 难以呼吸的呼吸道组中,皮肤到甲状腺峡的距离显著更大 (P=0.007).
- 这种测量显示,与其他超声波参数相比,对困难的呼吸道具有更好的预测能力.
- 较高的体重指数也与呼吸道困难有关 (P=0.009).
结论:
- 皮肤到甲状腺地峡的距离显示了作为难以呼吸道的预测器的潜力.
- 建议使用更大的样本大小进行进一步的研究,以探索这种超声波参数.
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