儿科脑膜外置术的术后安全性:术后入院是必要的吗?
Ani Mnatsakanian1, Jithin John2, Anya Costeloe1
1Department of Otolaryngology - Head and Neck Surgery, Ascension Macomb-Oakland Hospital, Madison Heights, MI, USA.
American journal of otolaryngology
|December 15, 2023
概括
超管整形手术对于患有严重喉病的儿科患者来说是一种安全的手术. 这项研究发现不良事件的发生率很低,这表明在手术后的健康儿童可能不需要住院治疗.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 严重的喉膜可以显著影响孩子的生活质量和呼吸功能.
- 超管整形术是一种旨在改善受影响的婴儿和儿童呼吸道通透性的手术.
研究的目的:
- 为了确定儿科上角膜整形术后急性 (48小时) 和亚急性 (14天) 副作用的发生率.
- 评价接受膜整形手术的儿科患者手术后入院的必要性.
主要方法:
- 在2017年1月至2020年12月期间,对107名小儿科患者进行了后期的图表审查,这些患者接受了膜整形术.
- 数据收集包括患者人口统计,住院时间长度,并发症,不良事件和14天内再入院.
- 分析的重点是确定术后并发症的发生率和类型.
主要成果:
- 术后不良事件的总发病率为5.7% (107名患者中有6名).
- 最常见的并发症包括呼吸困难,下收缩,斯特里多和口服摄入量减少.
- 根据手术后住院的单位,没有观察到不良事件发生率的统计学上显著差异.
结论:
- 超管整形术是一种安全有效的手术治疗儿科患者严重的喉病.
- 这项研究表明,在经过脑膜整形术后的健康儿童可能不需要常规的术后住院治疗.
相关概念视频
Endotracheal Tube Extubation
719
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
719
Endotracheal Intubation II: Nursing Management
696
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
696
Tracheostomy Care I: Pre-procedural Steps
196
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:
196
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
Tracheostomy Suctioning I: Pre-Procedural Steps
569
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
569
Tracheostomy: Procedure and Tubes
620
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...
620


