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儿童床边气管切除术的安全性
Ory Madgar1,2, Reut Kassif Lerner3, Stav Devons-Sberro4
1Department of Otolaryngology, Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel.
概括
在重症监护室 (ICU) 的儿科床边气管切除术是安全有效的. 这种手术的结果和并发症率与重症儿童的传统手术室气管切除术相似.
科学领域:
- 儿科手术 儿科手术
- 关键护理医学 关键护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 儿童气管切除术传统上是在手术室内进行的,因为它被认为具有技术困难和高并发症率.
- 床边气管切除术在成年人中很常见,但在儿科重症监护室 (ICU) 报告较少.
- 运输需要生命支持系统的重症儿科患者存在重大风险.
研究的目的:
- 评估在ICU环境中在床边进行儿科气管切除术的安全性和有效性.
- 为了比较床边儿科气管切除术的结果与在手术室进行的结果.
主要方法:
- 在三级保健中心进行的儿科气管切除术的回顾性分析.
- 从2013年1月1日至2019年12月31日期间收集的数据.
- 床边和手术室气管切除组之间的结果比较.
主要成果:
- 117名儿科患者接受了气管切除术,57名 (48.7%) 在床边,60名 (51.3%) 在手术室.
- 年龄从2周到17岁不等 (中位数为16个月).
- 没有床边病例需要转移到OR;在30天的发病率或死亡率之间没有显著差异.
结论:
- 在ICU的儿科开放床边气管切除术是一种安全有效的程序.
- 结果和并发症率与手术室气管切除术的结果相当.
- 床边气管切除术可以成为ICU中选择儿科患者的可行替代方案.
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