气管支架支架:一个不断扩大的前景
Paul Lilburn1,2,3, Jonathan P Williamson3, Martin Phillips4
1Department of Respiratory and Sleep Medicine, Prince of Wales Hospital, Sydney, New South Wales, Australia.
Internal medicine journal
|December 23, 2023
概括
使用或金属装置的气管支架支架有效地管理呼吸道阻塞. 像药物排泄和3D打印支架这样的创新为呼吸道挑战提供了未来的解决方案.
科学领域:
- 肺部病理学 肺部病理学
- 生物材料工程 生物材料工程
- 医疗器械设计 医疗器械设计
背景情况:
- 气道支架对于管理外部压缩,内在阻塞和非恶性气道问题至关重要.
- 支架虽然需要硬性支气管镜检查,但比金属支架更容易重新定位和移除.
- 金属支架,通常由尼丁醇制成,需要特别的设计考虑,以防止负载下灯管狭窄.
研究的目的:
- 审查气管支架支架的指示,材料和新兴技术.
- 为了比较与金属气道支架的特性和临床实用性.
- 探索气道支架设计的未来方向,包括药物排泄,3D打印和可生物降解的选项.
主要方法:
- 审查关于气管支架支架的现有文献.
- 对和金属支架的材料性能和插入技术的比较.
- 讨论新型支架技术及其潜在应用.
主要成果:
- 和金属支架是空气道阻塞的既定治疗方法,每个都有明显的优势.
- 尼丁醇是金属支架的首选材料,因为它的特性.
- 先进的支架设计,包括药物释放,3D打印和可生物降解的选择,有望克服当前的局限性.
结论:
- 气道支架是严重的症状性气道阻塞的有效息治疗方法.
- 未来的支架技术创新旨在解决身体和解剖学的限制,改善患者的治疗结果.
- 可生物降解的支架为非恶性气道阻塞提供了潜在的解决方案,减少了长期并发症.
相关概念视频
Trachea
2.1K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.1K
Tracheostomy: Procedure and Tubes
610
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...
610
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
206
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
206
Oxygen Delivering System III: Tracheostomy and T-piece
1.0K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
1.0K
Tracheostomy Care I: Pre-procedural Steps
191
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:
191
Tracheostomy Decannulation
184
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
184


