高频振荡对外科手术前期患者骨干干细胞减少的影响:一项前性随机对照研究
Yuan-Jun Qin1, Yun-Qian Zhang1, Qi Chen1
1Department of Anesthesiology and Surgical Intensive Care Unit, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, China.
Annals of medicine
|October 24, 2023
概括
高频振荡疗法显著降低了腹腔镜手术的患者的骨干脱. 这种干预也帮助维持氧气水平,对术后恢复有益.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
- 手术创新 在外科创新.
背景情况:
- 麻醉患者常见的atelectasis,特别是在腹腔镜手术期间.
- 高频振荡 (HFO) 疗法旨在通过应用连续的正压脉冲来降低 atelectasis.
- 这项研究调查了HFO在腹腔镜胆囊切除术 (LC) 期间预防脱脱的疗效.
研究的目的:
- 评估高频振荡疗法的有效性,以降低 atelectasis.
- 评估HFO对接受LC的患者氧化的影响.
- 为了比较HFO和对照组之间的肺超声波 (LUS) 评分和血液气体分析.
主要方法:
- 64名接受LC治疗的患者被随机分为HFO和对照组.
- HFO组接受了10分钟的治疗;对照组没有接受任何治疗.
- 肺部超声波和血液气体分析在特定时间点进行.
主要成果:
- 在研究结束时,HFO组的阿特莱克塔斯发病率明显较低 (57.5%vs90.3%).
- 与对照组不同,HFO保持了PaO2水平.
- 肺超声波得分在T2和T3时在HFO组显著较低.
结论:
- 高频振荡疗法在降低LC患者的阿特莱克塔सिस方面有效.
- HFO可以减轻与脱氧相关的氧气部分压力下降.
- 这种疗法提供了一种有希望的方法来改善呼吸系统的结果.
更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.5K
04:56In Vitro Method to Control Concentrations of Halogenated Gases in Cultured Alveolar Epithelial Cells
Published on: October 23, 2018
6.6K
相关概念视频
Mechanical Ventilation II: Invasive Ventilation
160
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
160
Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
Suctioning the Nasopharyngeal Airway
463
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
463
Endoscopic Studies II: Thoracocentesis
296
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
296
