在内镜食道外科手术中进行过鼻湿化快速吸气呼吸交流
Zao M Yang1,2, Tuan-Hsing Loh3, Justin Ross2
1Department of Otolaryngology, Head & Neck Surgery, UT Health San Antonio, San Antonio, TX, USA.
The Annals of otology, rhinology, and laryngology
|December 5, 2023
概括
透鼻加湿快速灌气通风交换 (THRIVE) 在食道内镜手术期间提供安全有效的呼吸暂停氧化. 这种方法对于呼吸道狭窄的患者特别有用,尽管肥胖患者和吸烟者面临更高的脱的风险.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
- 手术创新 在外科创新.
背景情况:
- 透鼻加湿快速灌气通风交换 (THRIVE) 是一种使用高流量鼻氧的呼吸暂停氧化技术.
- 虽然已用于喉外科手术,但其在全身麻醉和神经肌肉麻下的内镜食道手术中的应用是新的.
研究的目的:
- 评估THRIVE作为内镜食道手术中唯一的氧化方法的安全性和有效性.
主要方法:
- 对14名接受食道手术的成年患者进行了回顾性审查,其中使用了THRIVE氧化.
- 收集的数据包括人口统计,临床细节和麻醉学参数.
主要成果:
- 在整个手术过程中,92.9%的患者保持了足够的氧化,平均呼吸暂停时间为17.9分钟.
- 氧和度 (SpO2) 与吸烟史和BMI负相关.
- 在THRIVE使用期间,观察到潮末CO2 (EtCO2) 的增加.
结论:
- THRIVE是一种可行且安全的呼吸暂停氧化策略,用于内镜食道手术.
- 它为呼吸道狭窄的患者提供了潜在的好处.
- 肥胖和吸烟是THRIVE氧气脱的危险因素.
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