添加口腔采样是否与开放气道患者的传统鼻腔采样相比,改善了波形图?
Michael Schiappa1, Michael D Han2
1Postgraduate Resident, Department of Oral and Maxillofacial Surgery, University of Illinois Chicago College of Dentistry, Chicago, IL.
概括
结合鼻腔和口腔尾潮二氧化碳 (EtCO) 监测可以在模拟口腔和鼻腔呼吸期间改善波形捕获. 这种技术可以提高口腔和面外科手术中通风监测的准确性.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 尾潮二氧化碳 (EtCO) 对于在麻醉期间监测通风至关重要.
- 口腔和面外科 (WHO) 对于由于口腔呼气而导致的标准鼻腔EtCO2监测提出了挑战.
- 有效的EtCO2监测对于OMS程序中的患者安全至关重要.
研究的目的:
- 为了比较使用鼻腔监测和结合鼻腔和口腔监测的端潮二氧化碳 (EtCO2) 波形捕获.
- 在模拟的鼻腔呼吸,口腔呼吸和呼吸暂停条件下评估监测的有效性.
- 评估患者因素对EtCO2监测准确性的影响.
主要方法:
- 一个单盲,随机交叉研究与25名健康志愿者.
- 与用于EtCO2监测的综合鼻和口腔设备进行比较的标准鼻.
- 分析波形捕获在三个呼吸系统状态:鼻呼吸,口腔呼吸和呼吸暂停.
主要成果:
- 结合鼻腔和口腔监测显著增加了在鼻腔和口腔呼吸期间的波形检测 (P < .001).
- 较高的BMI与口腔呼吸中鼻腔采样时的波形捕获减少有关 (P = .013).
- 组合采样显示,在鼻呼吸 (P = .005) 期间,较低BMI (<23.5 kg/m2) 的受试者中,波形捕获得到改善.
结论:
- 口服端潮二氧化碳 (EtCO) 采样提高了海图波形的准确性.
- 需要进行进一步的临床试验,以验证在接受OMS手术的镇静患者中这些发现.
- 改进的EtCO2监测可以提高复杂的口腔手术期间的患者安全.
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