预防高气管支架支架迁移的"针":"扩大指示和扩展经验"
Sameer Bansal1, Samiksha S Kumar, Chakravarthi Loknath
1Department of Pulmonary Medicine, Critical Care Medicine and Interventional Pulmonology, Apollo Speciality Hospitals, Bangalore, India.
Journal of bronchology & interventional pulmonology
|November 20, 2023
概括
接技术有效地防止气道支架迁移在患有气管狭窄和气管食道 (TEF) 的患者. 这种方法对于和金属支架都是安全和成功的,并发症最小.
科学领域:
- 干预性肺病学 干预性肺病学
- 胸部外科手术 胸部外科手术
- 医疗器械技术 医疗器械技术
背景情况:
- 气道支架是气管-支气管阻塞和气管-食道 (TEF) 的关键干预措施.
- 支架迁移在气道支架程序中构成了重大挑战.
- 防止支架迁移对于成功的治疗结果至关重要.
研究的目的:
- 评估穿皮"针"技术在预防气道支架迁移方面的广泛经验和有效性.
- 评估"针"在高气管支架和金属支架的情况下的实用性.
- 在一个更大的患者队列中报告"针"的安全性和并发症概况.
主要方法:
- 在54名接受呼吸道支架的患者中,对74例"针"手术进行了回顾性分析.
- "针"技术应用于和自扩张金属支架 (SEMS).
- 指示包括气管狭窄和气管-食道 (TEF),重点是高气管支架.
主要成果:
- "针"在防止支架迁移方面表现出高的成功率,只有2.7%的病例经历了远程迁移.
- 在75.5%的病例中使用了状支架,在24.5%的病例中使用了SEMS;85%的病例涉及高气管支架.
- 轻微的并发症包括皮肤愈合延迟 (2.8%) 和位感染 (1.4%),两者都以保守的方式管理. 针的去除没有任何复杂性.
结论:
- 穿皮"针"是一种安全有效的防迁移策略,用于气道支架,包括高气道位置的支架.
- 该技术的实用性已成功扩展到金属支架,特别有利于治疗气管食道 (TEF).
- "合针"是一种简单的,低资源的手术,具有良好的安全性和最小的并发症.
相关概念视频
Tracheostomy: Procedure and Tubes
645
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...
645
Tracheostomy Care I: Pre-procedural Steps
200
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
200
Tracheostomy Care II: Procedure
201
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
201
Tracheostomy Decannulation
195
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
195
Tracheostomy Suctioning II: Procedure
280
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
280
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
631
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
631


