相关实验视频
Updated: Jun 26, 2025
06:31
Transuterine Fetal Tracheal Occlusion Model in Mice
Published on: February 5, 2021
3.1K
患有埃勒斯-丹洛斯综合征的患者的呼吸道并发症:一个病例报告
1is a Clinical Nurse Consultant, Endoscopy Unit Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia; Associate Professor, Faculty of Medicine at The University of Queensland, St. Lucia, Queensland, Australia.
AANA journal
|May 17, 2024
概括
患有高移动性埃勒斯-丹洛斯综合征 (hEDS) 的患者在镇静期间面临独特的呼吸道风险. 这一案例凸显了个性化气道管理计划对于接受hEDS手术的hEDS患者的重要性.
科学领域:
- 麻醉学 麻醉学
- 遗传学 遗传学是一种遗传学.
- 肺部病理学 肺部病理学
背景情况:
- 超移动埃勒斯-丹洛斯综合征 (hEDS) 是一种结缔组织疾病,其特征是关节的超移动性和组织脆弱性.
- 患有hEDS的患者在气道管理中可能会出现独特的挑战,原因是气道结构的潜在松性.
- 选择性手术 (如胃镜) 的镇静需要仔细考虑敏感人群的呼吸道稳定性.
研究的目的:
- 在胃镜检查后康复期间报告hEDS患者呼吸道严重阻塞的病例.
- 在hEDS中强调极端气管超流动性和气道妥协之间的关联.
- 强调量身定制的气道管理计划和以患者为中心的护理在预防不良事件中的重要性.
主要方法:
- 一份病例报告详细介绍了一名被诊断为hEDS的女性患者的术前病程,该患者正在接受选择性胃镜检查.
- 气道事件的描述,包括严重阻塞和标准救援技术的无效性.
- 身体检查结果的文件,揭示了极端的气管运动和随后的合作气道计划的开发.
主要成果:
- 患者在静止后经历了严重的呼吸道阻塞,最初在标准的呼吸道干预措施中加剧了这种情况.
- 在停止刺激和间接氧化后,气道阻塞的解决发生了,在17分钟内完全恢复.
- 身体检查发现了一个极其灵活的气管,允许显著的横向运动,这可能是导致事件的因素.
结论:
- 患有hEDS的患者,尤其是极度气管过度运动的患者,在镇静期间面临严重呼吸道并发症的风险.
- 一个主动的,个性化的气道管理策略,与患者合作开发,对于安全的周围麻醉护理至关重要.
- 彻底的手术前评估和明确的文件是必不可少的,特别是当在不同机构提供护理时.
相关概念视频
01:30Esophageal Strictures-I: Introduction
86
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
86
01:22Esophageal Perforation-I: Introduction
90
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
90
01:24Esophageal Varices-I: Introduction
111
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
111
01:28Esophageal Perforation-II: Clinical Manifestations and Management
56
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
56
01:24Flail Chest-I
177
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
177
01:26Esophageal Strictures-II: Clinical Features and Management
67
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
67