修改的静脉管通风管用于预防眼睛巴罗创伤
Matthew Yii1, Antonia Rowson1, Michelle Truong1
1Ear, Nose, and Throat Department, Alfred Health, Melbourne, VIC, Australia.
Ear, nose, & throat journal
|October 24, 2023
概括
修改的外周静脉管 (PIVC) 通风管提供了一种安全有效的方法,可以在高压氧气疗法 (HBOT) 期间预防中耳巴罗创伤. 这种床边技术显示出低并发症率,提高了HBOT协议中的患者安全性.
科学领域:
- 高压医学的高压医学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗器械技术 医疗器械技术
背景情况:
- 中耳重创是高压氧气疗法 (HBOT) 的常见并发症.
- tympanostomy 管用于平衡中耳压力,防止腹腔创伤.
- 现有的 tympanostomy 管放置技术可能是侵入性的或需要专门的设置.
研究的目的:
- 描述和评估经过修改的外周静脉管 (PIVC) 通风管在HBOT期间用于巴罗创伤预防的安全性和有效性.
- 评估在局部麻醉下修改PIVC插入的床边技术.
主要方法:
- 从2018年到2022年,在澳大利亚一家高等医院进行了一项分析观察研究.
- 在接受HBOT的112名患者 (220只耳朵) 中插入了经过修改的PIVC通风管.
- 分析了患者,HBOT和程序因素与并发症率,使用统计方法,包括费舍尔的精确测试和后勤回归.
主要成果:
- 在4年的时间里,112名患者 (220个耳朵) 接受了修改后的PIVC通风管.
- 并发症包括管道堵塞 (6.4%),过早挤出 (5.5%) 和重新插入 (7.3%).
- 尽管插入了管道,但4.1%的耳朵经历了巴罗创伤.
结论:
- 修改后的PIVC通风管插入是一种安全,有效和方便的方法,用于预防接受HBOT的患者的眼睛巴罗创伤.
- 这种床边技术代表了在高压氧气疗法期间提高安全性的宝贵工具.
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