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在跨口激光微喉外科手术中使用THRIVE用于呼吸暂停氧化:一个范围审查
Saikrishna Ananthapadmanabhan1, Yijin J Gan2, Akshay Kudpaje3
1Department of Otolaryngology, Westmead Hospital, Westmead, New South Wales, Australia.
The Laryngoscope
|May 9, 2024
概括
透鼻加湿快速灌气通风交换 (THRIVE) 为激光喉手术提供安全的呼吸暂停氧化. 这次审查没有发现任何不良患者结果,支持THRIVE作为有效的无管麻醉.
科学领域:
- 麻醉学和耳鼻喉学
背景情况:
- 通过鼻腔加湿的快速灌气通风交换 (THRIVE) 用于呼吸暂停的氧化.
- 它在激光喉手术 (LLS) 中的使用是由于火灾风险而引起的争论.
研究的目的:
- 在LLS期间审查THRIVE的机构经验.
- 在这种情况下,评估THRIVE的安全性和有效性.
主要方法:
- 对多个数据库 (PubMed,Medline,Embase,Scopus,JBI EBP,Cochrane) 的系统范围审查.
- 包括从创立到2023年4月的文献.
主要成果:
- 包含了代表271个案件的9篇文章.
- THRIVE用于氧化前和呼吸暂停氧化.
- 注意到了各种机构的做法;一个轻微的激光纤维点火发生了没有伤害.
- 没有报告患者的不良结果.
结论:
- THRIVE是一种安全有效的无管麻醉和呼吸暂停氧化方法,用于LLS.
- 关键的安全因素包括患者/团队选择,外科医生-麻醉师合作,以及机构协议.
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