评估和管理持续的空气泄漏情况
Garret Duron1, Elliot Backer2, David Feller-Kopman2
1Department of Pulmonary and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Expert review of respiratory medicine
|October 19, 2023
概括
持续的空气泄漏 (PAL) 是一个重大的临床挑战. 本综述涵盖了PAL管理的当前证据,突出了非手术选择和进一步研究的需要.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 临界护理医学 临界护理医学
背景情况:
- 持续性空气泄漏 (PAL) 是一个复杂的临床问题,缺乏标准化管理协议.
- PAL有助于增加患者的发病率,死亡率和长时间住院.
- 有一系列的手术和非手术干预措施用于PAL管理.
研究的目的:
- 审查现有证据,支持各种持续空气泄漏的管理策略.
- 讨论PAL中的新兴概念,包括取决于排水的空气泄漏和ICU护理.
- 识别知识缺口和需要进一步调查的领域,特别是随机对照试验.
主要方法:
- 这篇叙事综述综合了有关PAL管理的现有文献.
- 检查的关键干预包括手术方法,自身血液补丁形,化学形,内支气管和单向.
- 审查还涉及当代话题,如取决于排水的空气泄漏和重症监护病房管理.
主要成果:
- 在了解PAL病理生理学方面取得了进展,对于非手术治疗的证据越来越多.
- 识别取决于排水的PAL可能会减少对更具侵入性的程序的需求.
- 目前的证据支持各种治疗方式,但缺乏明确的指导方针.
结论:
- 了解PAL病理生理学的进展支持各种非手术治疗方式.
- 识别和管理取决于排水的空气泄漏可能会优化患者的护理.
- 进一步的随机对照试验对于建立持续空气泄漏的最佳管理策略至关重要.
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