用于评估脱准备状态的跨压力
Ashley Young1, Katie Walsh2, Jonathan Ida1,3
1Division of Pediatric Otolaryngology-Head and Neck Surgery, Department of Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A.
The Laryngoscope
|January 12, 2024
概括
在帕西·穆尔 (PMV) 试验中测量过气管压力 (TTP) 与儿科脱化候选人的多眠学和微喉镜/支气管镜检测结果相关. 然而,单一的TTP测量并不能预测成功的断管.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 呼吸系统生理学 呼吸系统生理学
- 睡眠医学 睡眠医学
背景情况:
- 儿科气管切除术断管协议缺乏标准化,不同程度上依赖帕西·穆尔门 (PMV) 试验,微喉镜和支气管镜 (MLB) 发现,以及多睡眠镜.
- 脑外压力 (TTP) 提供了一种客观的方法来评估PMV耐受性.
研究的目的:
- 评估TTP在儿科脱化候选人的作用.
- 为了比较TTP测量与多睡眠学和MLB发现.
主要方法:
- 在PMV试验期间 (2012年12月 - 2022年11月) 接受TTP测量的79名儿童的回顾性队列研究.
- 分析包括将TTP值与多睡眠学 (n=16) 和MLB结果进行比较.
- 评估了与脱成功的相关性.
主要成果:
- 与TTPs ≤10cm H2O (46.4%) 患者相比,TTPs>10cm H2O的患者在MLB (96.1%) 上显示出明显更高的气道阻塞率,与TTPs ≤10cm H2O (46.4%) 相比.
- 较高的TTP值与多睡眠学上的呼吸暂停-呼吸暂停指数增加相关 (p=0.0365).
- 无论是TTP还是封闭的多睡眠学都没有预测成功的脱.
结论:
- 在PMV试验期间的TTP测量与儿科脱化候选人的多眠学和MLB发现有关.
- 一个单一的TTP测量并不是成功断管的可靠预测指标.
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