相关实验视频

Updated: Jun 23, 2025

Point-of-Care Ultrasound: A Review of Ultrasound Parameters for Predicting Difficult Airways

Point-of-Care Ultrasound: A Review of Ultrasound Parameters for Predicting Difficult Airways

Published on: April 7, 2023

甲状腺手术中呼吸道困难的超声波预测参数:试点研究

Mongardini Federico Maria¹, Vanella Serafino², Iuorio Angela³

¹Division of General, Mini-Invasive and Obesity Surgery, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.

Updates in surgery

|June 18, 2024

概括

超声波可以帮助评估甲状腺手术患者的呼吸道困难. 呼吸道参数的超声波测量与输管困难相关,有助于麻醉管理.

科学领域:

麻醉学麻醉学
医疗成像医学成像
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

难以控制呼吸道在全身麻醉期间至关重要,特别是在甲状腺手术中,扩大的喉可以扭曲呼吸道.
压力的气道扭曲对气管管道输管提出了挑战.
超声波正在成为评估呼吸道的宝贵工具.

研究的目的:

评估压缩和气管偏差患者的特定气道参数的基于超声波的测量.
评估麻醉前超声检测结果与气管管道输液过程中的科尔马克-莱汉等级之间的相关性.

主要方法:

在13名患者中进行了超声测量,包括皮肤与逆喘气管 (DSRIT) 之间的距离以及亚喘气管与动脉 (DCSIT) 之间的距离.
这些超声波参数在诱导全身麻醉之前被测量.
测量结果与在输管过程中获得的科马克-莱汉喉镜等级进行了比较.

主要成果:

对DSRIT和DCSIT的超声波测量在患有压缩和气管偏差的患者中得到.
观察到,在输管前的超声波呼吸道测量和科尔马克-莱汉等级之间存在相关性.
这表明超声波可以为预测输管困难提供有用的信息.

结论:

麻醉前的超声波可以有效地测量压缩性喉甲状腺切除术的患者的关键气道参数.
基于超声波的气道评估显示了在这个患者群体中预测气管管道输入困难的潜力.
在复杂的呼吸道病例中,这种技术可以改善麻醉管理和患者安全.

关键词:

难以呼吸的气道总麻醉是一种全身麻醉.甲状腺囊是什么?甲状腺囊是什么?甲状腺手术甲状腺手术超声波学超声波学超声波学

更多相关视频

Image Acquisition using Portable Sonography for Emergency Airway Management

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

The Rigid Tube as an Alternative in Controlling the Problematic Airway

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

相关概念视频

Assessment of Airway, Skin Color, and Use of Accessory Muscles

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...

Endotracheal Tube Extubation

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....

Endotracheal Intubation I: Procedure

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...