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使用超声波预测致病性肥胖患者的呼吸道困难

Sevim Akin¹, Mustafa Yildirim², Hakan Artaş²

¹Department of Anesthesiology and Reanimation, Faculty of Medicine, Fırat University, Elazığ, Turkiye.

Turkish journal of medical sciences

|May 30, 2024

概括

额前部软组织 (ANS) 厚度的超声波测量和 preepiglottic 距离与声带比率 (PE/E-VC) 的测量可以预测肥胖患者的呼吸道困难. 这些发现有助于管理高风险个体的麻醉.

科学领域:

麻醉学麻醉学
医疗成像医学成像
肥胖医学肥胖医学

背景情况:

肥胖患者面临更高的风险,难以进行口罩通风和输管.
超声波提供了一种可靠的,非侵入性的气道评估方法.
预测肥胖的呼吸道挑战对于患者的安全至关重要.

研究的目的:

为了评估超声波测量前部部软组织 (ANS) 厚度,舌头体积 (TV),下腔口腔距离 (HMD),以及前皮囊距离与上皮囊和声带之间的距离 (PE/E-VC) 的比率.
确定这些超声波参数对于致病肥胖患者呼吸道困难的预测值.

主要方法:

对接受选择性手术的致病性肥胖患者 (BMI ≥40 kg/m2) 的前性研究.
在手术前超声波测量TV,ANS厚度在各种水平,HMD,和PE/E-VC.
超声波发现与科尔马克-莱汉分类对输管困难和记录的口罩通风挑战的相关性.

主要成果:

在患有难以输入管的患者中,在预先皮囊性ANS厚度和PE/E-VC显著增加 (p < 0.001).
增加的TV,ANS厚度 (甲状腺膜,甲状腺峡和上皮切片水平),以及PE/E-VC与难以口罩通风相关 (p < 0.005).

结论:

超声波参数,包括ANS厚度和PE/E-VC,显示出在肥胖患者中预测难以管理的气道管理的潜力.
这些非侵入性测量可以帮助麻醉科医生进行手术前的呼吸道风险评估.
超声波为优化肥胖人口中的麻醉策略提供了有价值的数据.

关键词:

肥胖问题肥胖问题难以通风的呼吸道输入管道是输入管道的方法.子子子子超声波超声波是指超声波的使用.

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