喉微手术 通过鼻腔加湿 快速吸入 呼吸机交换
Tiffany Rigal1,2, Robin Baudouin1,2, Marta Circiu1,2
1Department of Otolaryngology-Head and Neck Surgery Foch Hospital Suresnes France.
OTO open
|June 12, 2024
概括
透鼻化快速吸入呼吸器交换 (THRIVE) 对于喉微手术是可行的,即使使用激光. 然而,超重,高ASA分数和低氧增加了输管的需要.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
背景情况:
- 经鼻湿化快速吸入呼吸器交换 (THRIVE) 在全身麻醉中提供呼吸道管理优势.
- 它在喉科的应用提供了更长的呼吸暂停时间和改善上呼吸道通道的访问.
- 与口腔内输管相比,潜在的不稳定性需要进一步的可行性研究.
研究的目的:
- 评估使用THRIVE进行喉微手术的可行性.
- 评估THRIVE在涉及CO2激光的程序中的安全性和有效性.
- 为了确定影响THRIVE在喉微手术中的成功或失败的因素.
主要方法:
- 在2020年1月至2022年1月期间,对99名接受喉微手术的患者进行了回顾性分析.
- 根据在整个手术过程中成功使用THRIVE或需要进行内内管道输入的情况,患者被分组.
- 分析病史,并发症和手术数据,以确定THRIVE失败的危险因素.
主要成果:
- 发育失败发生在15.2%的患者中,主要是由于耐火性缺氧.
- 造成THRIVE失效的危险因素包括超重 (BMI>25 kg/m2),ASA得分>2和使用CO2激光器.
- 老年患者和患有肺病理的患者在统计学上没有显著的更高风险.
结论:
- 喉微手术,包括使用CO2激光的手术,可以使用THRIVE.
- 超重,较高的ASA得分,以及激光使用期间吸入氧气的比例降低,与需要口腔内输管的风险增加有关.
- 在这一群体中,THRIVE表现出良好的安全性,没有报告的不良事件.
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