在食道运动障碍的儿科内膜功能光成像探针的外科手术管理协议
Sherief Mansi1,2, Lev Dorfman1, Khalil El-Chammas1,2
1Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA.
Journal of pediatric gastroenterology and nutrition
|July 20, 2024
概括
一个新的麻醉方案标准化了接受阻抗性食道力计 (EndoFLIP) 的儿童的护理,减少了吸入风险和手术时间. 这种方法尽量减少了麻醉对食道运动在诊断和治疗干预期间的麻醉的影响.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 下消化管关节的失调会增加麻醉期间吸入的风险.
- 内膜功能性光膜成像探针 (EndoFLIP) 对于诊断和治疗阿喀拉西亚至关重要,需要麻醉.
- 麻醉可以改变食道运动和EndoFLIP参数,需要标准化的协议.
研究的目的:
- 为接受EndoFLIP手术的患者开发和实施标准化麻醉方案.
- 为了最大限度地减少麻醉对食道机动性的影响,并减少外科手术后的并发症.
- 为了降低患有秋症的儿科患者吸血的风险.
主要方法:
- 一个外科手术期间的管理方案旨在减轻麻醉对食道运动的作用,并预防并发症.
- 一个回顾性分析比较了接受EndoFLIP的患者的协议前和后实施数据.
- 分析了不良事件,手术持续时间和患者人口统计数据.
主要成果:
- 在协议实施后,没有任何不良事件 (0/71) 与3.3% (2/60) 协议前相比.
- 治疗后的手术时间显著缩短 (中位数为79分钟而不是89分钟).
- 在协议前和后的组之间,没有观察到年龄或性别的显著差异.
结论:
- 开发的麻醉方案提供了一种标准化的方法,用于在EndoFLIP手术过程中进行麻醉.
- 这一协议有效地减少了对EndoFLIP参数的影响,并降低了阿喀拉西亚患者的吸收风险.
- 标准化协议有助于更安全,更有效的患者管理.
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