使用形光束CT进行适当的鼻孔选择在鼻内输管中
Funda Arun1, Derya Icoz2, Ahmet Akti3
1Division of Anesthesiology, Department of Pedodontics, Faculty of Dentistry, Selcuk University, Selcuklu, Konya, Turkey.
Dento maxillo facial radiology
|July 27, 2024
概括
圆束CT (CBCT) 成像可以通过评估鼻腔隔膜偏差和轮缩过高来预测成功的鼻内管. 手术前的CBCT分析改善了鼻孔的选择,可能减少并发症和输管时间.
科学领域:
- 放射学 放射学是一门学科.
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 鼻腔内输管是一种常见的手术,可能会出现并发症.
- 鼻孔的选择对于成功和安全的鼻内输管至关重要.
- 目前用于鼻孔选择的临床方法可能无法完全预测.
研究的目的:
- 评估形光束CT (CBCT) 的预测值,以选择正确的鼻孔进行鼻内输管.
- 为了确定CBCT的发现是否可以改善与临床试验相比的鼻孔选择.
- 在CBCT上确定影响输管成功和持续时间的解剖因素.
主要方法:
- 研究了60名接受大面部手术和鼻内输管治疗的患者.
- 麻醉师使用临床测试来选择鼻孔.
- 放射科医生分析了CBCT扫描的鼻隔膜偏差 (NSD) 和下轮缩.
- 输管成功和持续时间被记录和分析.
主要成果:
- 在CBCT指导的鼻孔选择中观察到高成功率 (83.3%).
- 较低轮缩与更长的输管持续时间相关 (P=.031).
- 在表和隔膜偏差 (P=.395) 之间没有发现显著的统计关系.
结论:
- 手术前的CBCT成像是评估影响鼻内输管的解剖因素的一个有价值的工具.
- CBCT可以帮助麻醉科医生选择最佳的鼻孔,潜在地提高成功率和减少手术时间.
- 建议通过CBCT对隔膜偏差和轮缩的评估用于术前规划.
相关概念视频
Endotracheal Intubation I: Procedure
1.0K
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...
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...
1.0K
Suctioning the Nasopharyngeal Airway
335
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
335
Administering Oxygen by Nasal Cannula
463
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
463


