气管切除术时间在未经选择的危急病患者长期输管:一个前性队列研究
1Department of Anesthesiology and Reanimation, Faculty of Medicine, Giresun University, 28100 Giresun, Türkiye.
Journal of clinical medicine
|May 25, 2024
概括
在重症监护室 (ICU) 的早期气管切除术不会显著影响死亡率或机械通风需求. 然而,延迟气管切除术超过14天可能会延长住院时间,这表明最佳时间仍在争论中.
科学领域:
- 关键护理医学 关键护理医学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 气管切除术是一种常见的ICU手术,用于长时间的输管治疗,断奶困难和感染控制.
- 通过皮肤和外科气管切除术的技术都被使用.
研究的目的:
- 评估气管切除术时间对ICU患者死亡率的影响.
- 评估对机械通风要求和并发症率的影响.
主要方法:
- 在ICU中进行气管切除术的患者的回顾性分析.
- 收集的数据包括人口统计,气管切除术时间,技术,并发症和通风状态.
- 患者的分类是基于在14天内进行的气管切除术,而不是在输管治疗14天后.
主要成果:
- 在早期 (<14天) 和晚期 (≥15天) 气管切除术之间,没有观察到死亡率,镇静或呼吸机断奶的显著差异.
- 手术气管切割与更多的并发症有关,尽管在统计学上并不显著.
- 在14天后进行的气管切除术与更长的住院时间相关.
结论:
- 早期气管切除似乎不会影响机械通风需求,镇静或死亡率.
- 气管切除术的最佳时间仍然是持续辩论的主题.
- 建议进行进一步的随机对照试验,以可比的患者生存预期.
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