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手术后喉痛:预防和治疗
Elvio Mazzotta1, Suren Soghomonyan2, Ling-Qun Hu1
1The Ohio State University, Columbus, United States.
手术后喉痛 (POST) 影响到60%的患者在全身麻醉后. 本综述探讨了当前和新的方法,包括视频喉科镜和内管旋转,以减少POST发生率和改善患者护理.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 手术并发症 手术并发症
背景情况:
- 手术后喉痛 (POST) 是全身麻醉后的常见并发症,报告的发病率高达60%.
- POST可能会对患者的满意度产生负面影响,并增加医疗保健成本.
- 导致POST的因素包括困难或创伤性输管,使用钢笔可能会导致气管膜损伤.
研究的目的:
- 审查目前预防和治疗POST的策略.
- 探索旨在减少POST的发病率和严重程度的新兴技术.
- 评估新型输管方法在POST管理中的潜力.
主要方法:
- 审查有关 POST 管理的现有文献.
- 对药理干预的分析,包括皮质类固醇,NSAID和NMDA受体对抗剂.
- 评估输入管装置的进步,例如视频鼻喉镜 (VL).
主要成果:
- 虽然VL改善了喉可视化和输管成功,但POST发生率仍然很高.
- 药理疗法旨在预防,改善或治疗POST症状.
- 提出了一种新的内内管 (ETT) 180°旋转技术,以减轻与钢笔相关的损伤.
结论:
- 尽管技术进步,但有效减少POST仍然是一个挑战.
- 该ETT180度旋转技术显示出希望,但需要临床验证.
- 进一步的研究是必不可少的,以确定新的输管方法在减少POST的有效性.
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