随机对照试验评估成功的新生儿内内管输入率,用钢笔或没有钢笔进行
Shailesh Solanki1, Shivani Dogra1, Pramod K Gupta1
1Department of Paediatric Surgery, PGIMER, Chandigarh, India.
Paediatric anaesthesia
|February 2, 2024
概括
在新生儿内内输管中使用支架并没有显著提高整体成功率,但减少了输管时间. 笔对较小的内管有好处,可能有助于程序.
科学领域:
- 新生儿重症监护中心
- 儿科重症监护中心儿童重症监护中心
- 麻醉学 麻醉学
背景情况:
- 在重症监护室 (ICU) 的新生儿通常需要内内管和机械通风.
- 在此过程中,通常会使用带有内管的风笔,但其对成功率的影响尚不清楚.
研究的目的:
- 检查笔笔使用与外科手术新生儿内管道输入成功率之间的关联.
- 为了比较新生儿的输入管时间和并发症率,用和没有插入管的婴儿.
主要方法:
- 一个单一中心的随机研究,涉及200名新生儿在新生儿手术ICU.
- 婴儿被随机分配到单独使用内管或用钢笔进行内管内输管.
- 主要结局是第一次尝试的成功率;次要结局包括输管持续时间和并发症 (胸心,脱,局部创伤).
主要成果:
- 总体而言,第一次尝试的成功率没有显著差异 (81%的笔与73%的没有).
- 插管时间在使用笔笔时显著缩短 (16.2 ± 4.3 秒与17.5 ± 5.0 秒).
- 在需要较小的内管 (大小≤3) 的新生儿中,笔笔使用显著增加了成功率 (80%与63%相比). 在没有钢笔的情况下,食道输管更频繁.
结论:
- 在新生儿内内输管中使用针头并不能显著提高整体成功率,但可以减少手术时间.
- 笔的刚性和曲率可能有助于输管,特别是在使用较小的内管时.
- 进一步的研究可能会澄清在特定新生儿子组中石头的作用.
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