长时间口罩通风对胃不通气的影响:一项前性观察研究
Karam Azem1, Shai Fein1, Yuri Matatov1
1Department of Anesthesiology, Rabin Medical Center (Beilinson Campus), Petah Tikva, Israel, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
使用15厘米的H2O压力进行长时间的面罩通风 (FMV) 导致接受卵细胞采集的患者胃 insufflation 的发病率较低. 这表明FMV是短期程序的安全通风方法.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 胃肠病学 胃肠病学
背景情况:
- 肺吸气是一种关键的外科手术风险,通常与胃 insufflation 相关.
- 面罩通风 (FMV) 是一种常见的麻醉技术,可以诱导胃灌气.
- 最佳的FMV设置平衡了通风效率与最小的胃灌气风险.
研究的目的:
- 评估面罩扩展通风对胃灌气的影响.
- 在临床环境中评估长期 FMV 的安全性.
主要方法:
- 一项前性观察性研究,涉及女性患者在全身麻醉下接受卵细胞采集.
- 胃超声波在手术前和手术后评估胃腹部横截面区域,以检测吸入.
- 在整个过程中,使用了压力控制的FMV与15厘米的H2O吸入压力.
主要成果:
- 该研究包括49名患者;4.1%的患者患有术后胃 insufflation.
- FMV的平均持续时间为13分钟.
- 没有发现FMV持续时间和胃腹部区域变化之间有显著的关联.
结论:
- 在15厘米的H2O下,压力控制的FMV表明胃 insufflation的发病率很低.
- 在特定的,较短的外科手术中,FMV可以作为一种安全的替代通风方法.
- 这些发现支持FMV的实用性超出其作为临时气道管理工具的作用.
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