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全球儿科视频喉腔镜和喉视图分级:一项前性观察研究
Phillip B Sasu1, Nelly Gutsche1, Rilana Kramer1
1Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Anaesthesia
|July 11, 2024
概括
全面视频喉腔镜显著减少了儿童气管管道输入过程中受限的喉视图. 然而,Cormack和Lehane的分类对于在这个人群中分级困难的视频喉科输管术是无效的.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 航空航道管理的管理.
- 医疗器械技术 医疗器械技术
背景情况:
- 有限的证据存在于儿童气管管道输管的通用视频喉科镜程序.
- 视频喉腔镜被提议作为儿科输管的默认技术.
研究的目的:
- 为了评估是否通用,首选视频喉腔镜可减少儿童的限制性喉视图.
- 评估康马克和莱汉分类对儿科视频鼻镜输管困难的诊断性能.
主要方法:
- 在通用视频鼻镜实施计划中的前性观察研究.
- 在麻醉儿童中使用C-MACTM视频laryngoscopes进行选择性气管管道输入.
- 使用六级分级系统进行分类的直视和视频鼻镜视野视图.
主要成果:
- 在809名16个月以上的儿童中进行了904次气管管道输入.
- 限制的喉视图从直接喉镜检查的13%下降到视频喉镜检查的4% (p < 0.001).
- 科尔马克和莱汉分类显示,视频鼻镜输管困难的差别较差 (AUC为0.68对比0.80直接查看,p=0.005).
结论:
- 全面的,首选的视频喉腔镜显著减少了儿童气管管道输液中受限的喉视图.
- 科马克和莱汉分类不是一个可靠的工具来分类儿童视频喉科输管难度.
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