在胸部患者中使用支气管阻塞剂进行单肺通风
Paulo Andrés Cano1, Luis Carlos Mora2, Irene Enríquez2
1Department of Anaesthesiology and Resuscitation, Hospital Universitario Son Espases, Carretera de Valldemossa, 79, Palma de Mallorca, Islas Baleares, 07120, Spain. pauloandresc@gmail.com.
BMC anesthesiology
|December 6, 2023
概括
支气管阻塞剂 (BBs) 是在胸部手术期间实现肺缩的有效和安全替代品. 这项研究发现,肺部缩率很高,并发症最小,特别是在VATS手术中.
科学领域:
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
- 肺部医学 肺部医学
背景情况:
- 肺部隔离对于胸部手术至关重要,使单肺通风和改善手术接入成为可能.
- 支气管阻断剂 (BBs) 已被接受用于肺部隔离,但不是麻醉师的主要选择.
- 本研究评估了BBs在各种胸部手术中的安全性和有效性.
研究的目的:
- 评估支气管阻断剂 (BBs) 在各种胸部手术中实现肺衰竭的安全性和有效性.
- 使用BBs识别影响肺缩成功率的因素.
- 为了确定与胸部手术中BB使用相关的并发症率.
主要方法:
- 在2015年至2022年期间,对134名接受胸部手术的患者进行了回顾性和描述性分析.
- 排除标准包括大规模的血栓塞,,或之前的肺切除术.
- 收集了关于患者人口统计,手术类型,BB放置,肺缩质量和并发症的数据.
主要成果:
- 在97%的病例中 (63.9%的病例是很好的,33.1%的病例是很好的) 实现了优秀或良好的肺缩.
- 超过90%的患者没有经历手术前或手术后的并发症.
- 在VATS手术,横向位定位和左主支气管BB放置 (p <0.05) 中,优秀的肺缩更为频繁.
结论:
- 支气管阻塞剂 (BBs) 是在各种胸部手术中实现肺缩的安全有效替代品.
- BBs表现出令人满意的安全率与最小的并发症.
- 这项研究支持使用BBs作为胸部手术中肺部隔离的可行选择.
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