视频喉腔镜用于最小侵入性表面活性剂治疗的应用:一个回顾性比较队列研究
Tamara Jahmani1, Michael R Miller1,2, Orlando da Silva1
1Department of Pediatrics, Western University, London, ON N6A 3K7, Canada.
Biomedicines
|March 28, 2024
概括
使用视频喉腔镜 (VL) 的最小侵入性表面活性剂治疗 (MIST) 与新生儿的直接喉腔镜 (DL) 相似. 这项研究发现类似的程序成功率和并发症率,表明VL是MIST交付的可行选择.
科学领域:
- 新生儿医学 新生儿医学
- 肺部病理学 肺部病理学
- 医疗技术 医疗技术 医学技术
背景情况:
- 最少侵入性表面活性剂治疗 (MIST) 是新生儿表面活性剂输送的首选方法.
- 直接喉腔镜 (DL) 传统上用于MIST.
- 视频喉腔镜 (VL) 越来越多地用于新生儿呼吸道管理,促使人们对其用于MIST的使用进行调查.
研究的目的:
- 为了比较使用VL和DL执行MIST的程序成功率,操作员易用性和并发症率.
- 评估MIST技术在新生儿护理中对VL的适应性.
主要方法:
- 在第三级新生儿重症监护病房进行了回顾性观察队列研究.
- 包括2020年10月至2022年10月期间接受MIST的新生儿.
- 在VL和DL组之间比较程序成功,需要多次尝试,不良事件和需要后续干预.
主要成果:
- 在VL和DL组之间,程序成功率相似.
- 在单变量分析中,VL (11%) 与DL (31%) 相比,多次尝试的需要较低 (p=0.034).
- 并发症,需要第二剂表面活性剂,以及术后通风是可比的;VL提供实时视觉指导.
结论:
- 使用VL的MIST在这个新生儿队列中证明了与DL相比的程序成功,并发症和操作人员易用性.
- VL是一种成功且对MIST具有潜在优势的技术,特别是在更小,更生病和更早产的新生儿中.
- 这些发现支持了VL在MIST交付中更广泛采用的潜力.
相关概念视频
Endotracheal Intubation I: Procedure
1.2K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.2K
Tracheostomy Suctioning II: Procedure
239
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
239
Tracheostomy Suctioning I: Pre-Procedural Steps
543
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
543


