在手术室外出现紧急气道管理后的再输管率和死亡率
Uzung Yoon1, Jeffrey Mojica1, Matthew Wiltshire1
1Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Journal of intensive care medicine
|February 2, 2024
概括
在手术室 (OR) 外出现紧急气道管理后,在18.5%的患者中发生了重新输管,增加了住院和重症监护室 (ICU) 停留时间. 这项研究评估了非OR环境中的再灌输率和结果.
科学领域:
- 关键护理医学 关键护理医学
- 麻醉学 麻醉学
- 紧急医疗 紧急医疗
背景情况:
- 在手术室 (OR) 外的再输液实践和结果没有得到充分的记录.
- 在重症监护室 (ICU) 和其他医院环境中,紧急的气道管理带来了独特的挑战.
研究的目的:
- 评估在OR外出现的气道管理后的再输入率和相关死亡率.
- 分析影响再灌输的因素,包括设置,时间和患者的结果.
主要方法:
- 在手术室外接受新兴输管治疗的患者的回顾性队列研究.
- 主要结局包括再灌输率和死亡率.
- 分析的二次结局包括位置,适应症,再灌输时间和停留时间.
主要成果:
- 在275名患者中,有18.5%的患者在同一住院期间需要重新输管.
- 在非ICU环境中,再输入管发生的频率更高 (41%),并且经常在输出管后7至30天之间.
- 重新输管的患者经历了显著更长的ICU停留时间,住院时间和总输管日.
结论:
- 在OR外的再输管与医院和ICU资源利用率的增加有关.
- 这项研究强调了需要改进的气道管理和非OR环境中的输出管后护理协议.
- 观察到的死亡率差异可能受到生存偏差的影响,更生病的患者不太可能在足够长的时间内存活,以进行输出试验.
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