视频与用于输管的直接喉腔镜相比:更新的系统性审查和元分析
Saad Azam1, Zainab Z Khan2, Haania Shahbaz3
1Medical School, Shaikh Khalifa Bin Zayed Al-Nahyan Medical and Dental College, Lahore, PAK.
Cureus
|February 7, 2024
概括
视频喉腔镜 (VL) 与直接喉腔镜 (DL) 相比,在重症患者中显著提高了第一次尝试内内管管道输入成功率. 此外,VL也没有显示严重不良事件的风险增加,提高了紧急气道管理期间的患者安全.
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:
- 直接喉腔镜 (DL) 是用于内内管道 (EI) 的标准方法.
- 视频喉镜 (VL) 通过屏幕提供增强的喉可视化,有助于内管 (ETT) 的放置.
- DL和VL都用于紧急和重症监护环境,用于气道管理.
研究的目的:
- 为了比较DL和VL在实现首次试图气管管道输管在危急病患者的疗效.
- 通过比较严重低氧化,低血压和心脏骤停的发病率来评估DL和VL的安全性.
主要方法:
- 一个系统的审查和随机对照试验 (RCTs) 和观察性研究的元分析,发表到2023年.
- 搜索的数据库包括 PubMed,EMBASE 和 Scopus.
- 包括的研究集中在患有DL或VL的重症患者中,以首次尝试成功为主要结果.
主要成果:
- 对8项涉及5348名患者 (1780名DL,3568名VL) 的研究分析显示,与DL (68%) 相比,VL的首次输管成功率 (81.5%) 显着更高.
- 在VL和DL组之间,严重的低氧化,严重的低血压或心脏骤停的发生率没有显著差异.
- 分析证实了VL在第一通输管成功中的优越性,但不增加不良事件.
结论:
- 视频喉腔镜显示,与直接喉腔镜相比,在危急病患者中,第一次尝试内内管管道输入的成功率更高.
- VL与DL相似的安全结果有关,而严重不良事件的风险没有增加.
- 在紧急和重症监护环境中,VL是改善气道管理结果的宝贵工具.
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