超声导航气道评估:它是游戏改变者预测困难的内内管道输入吗?
Sri Vidhya1, Bhanu P Swain1,2, Anbesh Dash1,3
1Anaesthesiology, Tata Main Hospital, Jamshedpur, IND.
Cureus
|February 19, 2024
概括
对前软组织厚度 (STT) 的超声波测量有效地预测了困难的呼吸道. 在状腺和声带水平的测量显示了前手术气道评估的前景.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 航空航道管理的管理.
背景情况:
- 气道超声波是术前气道评估的一个新兴工具.
- 在手术前评估呼吸道困难对于患者的安全至关重要.
- 超声波为评估气道结构提供了一种非侵入性方法.
研究的目的:
- 评估超声波测量前部软组织厚度 (STT) 在预测困难的呼吸道方面的有效性.
- 为了确定各种超声波参数的灵敏度,特异性,PPV和NPV.
- 为困难的气道开发一个预测评分系统.
主要方法:
- 研究了188名 (18-65岁) 接受全身麻醉和输管治疗的患者.
- 手术前的超声波测量了部前部软组织厚度 (STT) 在状腺 (STT-Hyoid) 和声带 (STT-VC) 水平.
- 使用输管困难度表 (IDS) 评估了气道困难.
主要成果:
- 呼吸道困难 (IDS > 5) 在9.04%的患者中发生.
- STT-Hyoid和STT-VC显示了与IDS的中等相关性.
- 结合STT-Hyoid和STT-VC测量 (切线29.95毫米) 是难以预测呼吸道的有效预测器.
结论:
- 术前呼吸道超声波,特别是测量状腺和声带水平的STT,对于预测呼吸道困难是有效的.
- 建议在不同的种族和人口群体中进一步验证.
- 超声波为气道评估提供了一个有价值的,非侵入性的工具.
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