在COVID-19患者的床边开放式气管切除术 - 一种安全和快速的方法
N-W Wahid1, P Deutsch, A Amlani
1Birmingham Heartlands Hospital B9 5SS, Bordesley Green East Birmingham, United Kingdom wahidahwahid@doctors.org.uk.
Medicina oral, patologia oral y cirugia bucal
|November 22, 2023
概括
床边开放式气管切除术对于需要机械通风的COVID-19患者来说是一种安全有效的程序. 这种方法最大限度地减少了病毒传播风险和医疗保健专业人员的程序并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 关键护理医学 关键护理医学
- 传染病流行病学 传染病流行病学
背景情况:
- 气管切除术对于在机械通风中管理COVID-19患者至关重要.
- 床边外科气管切除术为穿皮方法提供了替代方案.
- 在COVID-19大流行期间,最大限度地减少病毒传播至关重要.
研究的目的:
- 为了分享在COVID-19患者身上进行床边外科气管切除的经验.
- 为了展示一项安全有效的气管切除术方法.
- 为了最大限度地降低病毒传播风险,并优化患者的治疗结果.
主要方法:
- 成立了一个COVID气道团队,由四名咨询外科医生组成.
- 展望性研究涉及开放的床边,开放的剧院和穿皮气管切除术.
- 根据既定的指导方针,开发了一种临床开放性外科气管切除的逐步方法.
主要成果:
- 进行了30次气管切除术 (14次床边切除术,5次开放式切除术,11次穿皮切除术).
- 机械输管的平均持续时间是床边开放式气管切除术前14.5天.
- 床边开放式气管切除术的平均时间为9分钟,比开放式手术 (31分钟) 快得多,没有并发症或报告病毒传播.
结论:
- 床边开放式气管切除术在COVID-19大流行期间是一种有效,安全和快速的方法.
- 该程序导致了较短的平均程序时间.
- 没有报告与气管切除术相关的并发症或卫生保健工作者之间的病毒传播.
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