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在成人心脏手术中进行动脉导管的局部变暖的影响:一项随机对照试验
Seyeon Park1,2, Hye-Jin Kim1,2, Wonjae Heo1
1Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
Journal of thoracic disease
|November 16, 2023
概括
辐射动脉 (RA) 部位的局部升温并没有改善心脏手术患者的导管成功率. 然而,升温确实增加了RA内部直径和横截面积,可能防止血管.
科学领域:
- 心血管医学 心血管医学
- 医疗器械 医疗器械
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 动脉导管成功可以受到血管直径的影响.
- 周围血管扩张与体温升高有关.
- 局部变暖可能会增强放射性动脉 (RA) 导管结局.
研究的目的:
- 评估局部变暖对RA导管成功率的影响.
- 确定局部变暖是否影响RA内部直径 (ID) 和横截面积 (CSA).
主要方法:
- 一项随机对照试验,涉及160名接受心脏手术的成年患者.
- 四组:非温暖的触摸 (NP),非温暖的超声波导向 (NU),温暖的触摸 (WP) 和温暖的超声波导向 (WU).
- 主要结果:第一次尝试成功率;次要结果:RA ID,CSA和并发症.
主要成果:
- 在这四组中,第一次尝试成功率没有显著差异 (P=0.985).
- 在不变暖和变暖组之间,成功率没有显著差异 (P=0.827).
- 与基线相比,升温组显示RA ID (3.34±0.78毫米对3.02±0.73毫米;P<0.001) 和CSA (6.9±2.8毫米对5.8±2.4毫米;P<0.001) 的增加.
结论:
- 在心脏外科手术患者中,RA部位的局部升温不会改善第一次试验导管成功.
- 局部变暖增加了RA ID和CSA,这表明有可能预防血管.
- 升温可能会提供超出立即程序成功的好处.
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