觉醒的鼻纤维光学输管在侧向位置,严重肥胖的患者预计有困难的气道:一个随机对照试验
Omar Ababneh1, Isam Bsisu1,2, Ahmad I El-Share'3
1Department of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman 11942, Jordan.
Healthcare (Basel, Switzerland)
|November 14, 2023
概括
在清醒状态下,横向的鼻纤维光学输管在严重肥胖且呼吸道困难的患者中,与卧卧姿势一样有效. 这种技术也大大减少了确保气道安全所需的时间.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 航空航道管理的管理.
背景情况:
- 肥胖是难以输管的重要危险因素.
- 建议在严重肥胖患者中进行醒觉光纤输管治疗,以应对呼吸道挑战.
- 研究患者的替代位置可以优化输管程序.
研究的目的:
- 为了评估醒着的鼻纤维光学输管在严重肥胖的患者怀疑困难的呼吸道的疗效.
- 为了比较这项手术的横向腰位置与仰卧位置.
- 评估成功率,输管时间,不良事件和患者满意度.
主要方法:
- 进行了一项随机对照试验.
- 包括严重肥胖的患者,预计有困难的呼吸道.
- 这项研究比较了清醒的鼻纤维光学输管在横向与卧卧的位置.
主要成果:
- 纤维光学输内管的成功率在横向和仰卧组均为100%.
- 侧卧姿势 (188秒) 的输管时间与卧卧姿势 (214.5秒) 相比,侧卧姿势 (188秒) 的输管时间明显短.
- 在横向姿势下,手术内咳的频率较低,而手术后喉痛更为常见.
结论:
- 处于清醒状态的鼻纤维光学输入管在横向位置是一个可行的和有效的替代品躺卧位置.
- 横向位置提供了一个潜在的优势,因为它减少了空气管道管理所需的时间.
- 进一步的研究可能会探索优化患者定位,以改善呼吸道管理结果.
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
Endotracheal Intubation I: Procedure
1.5K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.5K
Cardiopulmonary Resuscitation II: ACLS Airway Management
15
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
15
Endotracheal Intubation II: Nursing Management
721
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
721
Endotracheal Tube Extubation
759
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
759
Oxygen Delivering System III: Tracheostomy and T-piece
1.1K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
1.1K


