灵活的犀牛喉科镜用于清醒的鼻内输管
Caius Mihai Breazu1, Ioan Florin Marchis2, Matei Florin Negrut3
11st Department of Anesthesia and Intensive Care, "Iuliu Haţieganu" University of Medicine and Pharmacy; Research Association in Anesthesia and Intensive Care (ACATI); Department of Anesthesia and Intensive Care "Clinicilor 4-6", Cluj County Emgency Clinical Hospital.
Journal of visualized experiments : JoVE
|August 19, 2024
概括
确保呼吸道的安全至关重要. 这项研究详细介绍了一种新的清醒鼻内输管协议,使用更短的柔性视频喉镜来挑战气道,提高安全性和患者满意度.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 航空航道管理的管理.
背景情况:
- 难以管理的气道风险很大,包括死亡率和残疾.
- 患有头部和部病理的患者特别容易受到气道损害的影响.
- 醒着灵活范围输管是管理这种具有挑战性的气道的既定标准.
研究的目的:
- 通过使用一种新型,更短的柔性视频喉镜,呈现一个清醒的鼻内输管的逐步协议.
- 评估这种技术在具有挑战性气道的患者中的可行性和益处.
主要方法:
- 进行了一项可行性试验,涉及25名呼吸道困难患者.
- 开发并实施了一种使用更短的柔性视频喉镜进行清醒鼻内输管的协议.
- 该技术涉及一只手的范围操纵,以精确地推进范围输入管组件.
主要成果:
- 较短的柔性视频喉镜允许输入管紧密跟随范围.
- 该技术使扭曲的解剖学更容易操纵和导航.
- 潜在的好处包括手术前的"快速检查",减少呼吸道损伤的风险,以及更快,更顺的手术.
结论:
- 使用更短的柔性视频喉镜进行清醒的鼻管道输入,为管理具有挑战性的气道提供了一种安全有效的方法.
- 该技术提高了程序的方便性,降低了呼吸道受伤的风险,并提高了患者的满意度.
- 这种方法为头病理患者的呼吸道管理提供了有价值的替代方案.
相关概念视频
Endotracheal Intubation I: Procedure
960
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...
960
Endotracheal Intubation II: Nursing Management
535
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
535
Endotracheal Tube Extubation
505
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....
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....
505
Tracheostomy Care I: Pre-procedural Steps
151
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
151
Suctioning the Nasopharyngeal Airway
316
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
316
Tracheostomy: Procedure and Tubes
469
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
469


