与光环固定患者相关的气道风险
Adrienne R Azurdia1, Jarvis Walters2, Chris R Mellon3
1Department of Emergency Medicine, HonorHealth Osborn, Scottsdale, United States.
Surgical neurology international
|April 17, 2024
概括
光环固定装置显著复杂化了部脊椎损伤的创伤患者的呼吸道管理. 这项研究发现了大量的输管失败和死亡率,特别是在非选择性手术中,强调了需要提高警的必要性.
科学领域:
- 创伤护理 创伤护理
- 航空航道管理的管理.
- 神经外科 神经外科
背景情况:
- 光固定装置用于椎脊椎损伤.
- 这些设备可以阻碍最终的气道通道.
- 临床医生面临的挑战是保护这些患者的呼吸道.
研究的目的:
- 为了确定与呼吸道相关的死亡率.
- 为了评估成年创伤患者的内管道输入的结果,具有光环固定.
主要方法:
- 回顾性图表审查. 回顾性图表审查.
- 研究期间:2007年至2012年.
- 纳入标准:成年创伤患者在光环固定时被直管.
主要成果:
- 在46名患者中进行了60次输管.
- 8.3%的人需要出现外科手术呼吸道.
- 4.4%的人死于呼吸道并发症.
- 非选择性输管有25%的失败率和显著的死亡率 (P=0.0003).
结论:
- 光固定是气道管理的一个主要障碍.
- 输管失败和死亡率非常高.
- 提高警对于输管患者在光环固定中至关重要.
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