气道支架的进步:一个全面的更新
Carlos Aravena1, Thomas R Gildea2
1Department of Respiratory Diseases, Faculty of Medicine, Pontificia Universidad Católica de Chile. Santiago, Chile.
Current opinion in pulmonary medicine
|November 8, 2023
概括
气道支架 (AS) 的最新进展,包括3D打印的支架 (3DPSS),为中心气道阻塞 (CAO) 提供了针对患者的具体解决方案. 需要进一步的研究,以解决支架选择和长期管理的持续挑战.
科学领域:
- 肺部病理学 肺部病理学
- 生物材料工程 生物材料工程
- 干预性肺病学 干预性肺病学
背景情况:
- 中央气道阻塞 (CAO) 带来了重大管理挑战.
- 传统的气道支架 (AS) 在治疗复杂的气道疾病方面存在局限性.
- 随着新型支架技术的发展,AS领域正在迅速发展.
研究的目的:
- 审查中央气道阻塞 (CAO) 的气道支架 (AS) 的不断变化的格局.
- 要突出最近在AS方面的创新,包括3D打印的支架 (3DPSS),金属支架,生物降解支架 (BS) 和药物排泄支架 (DES).
- 讨论AS的当前挑战和未来方向.
主要方法:
- 关于气道支架的最新进展的文献综述.
- 分析创新,如3D打印的支架 (3DPSS),生物降解支架 (BS) 和药物排泄支架 (DES).
- 讨论临床相关性,患者选择和长期管理.
主要成果:
- 3D打印的支架 (3DPSS) 在CAO中显示出患者特定解决方案的前景.
- 像BS和DES这样的创新为改善结果和未来应用提供了潜力.
- 最近的创新表明,有可能克服传统支架的局限性.
结论:
- 由3DPSS,BS和DES等创新驱动的AS的演变对管理CAO具有前景.
- 对并发症,患者选择和长期管理的持续挑战需要进一步调查.
- 需要标准化的指导方针和更多的临床数据来优化AS实践,以获得更好的患者结果.
相关概念视频
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
17
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
17
Tracheostomy: Procedure and Tubes
661
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
661


