在接受大面部手术的患者中进行气道管理:最新技术审查
Raffaele Merola1, Stefania Troise2, Daniela Palumbo1
1Anesthesia and Intensive Care Medicine, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy.
Journal of stomatology, oral and maxillofacial surgery
|September 7, 2024
概括
在面外科手术中,有效的呼吸道管理需要各种通风和氧化技术. 多学科的方法对于患者的安全至关重要,特别是在高风险的输出管过程中.
科学领域:
- 麻醉学 麻醉学
- 口腔和牙面部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 由于独特的解剖学和生理学挑战,口腔外科手术中呼吸道管理至关重要.
- 患者面临来自创伤,先天性问题或外科手术的呼吸道损害风险增加.
- 对于临床医生来说,熟练掌握常规和先进的呼吸道技术是必不可少的.
研究的目的:
- 综合当前的证据和临床实践,用于大面部手术的呼吸道管理.
- 检查呼吸道安全的解剖学,生理学和程序性考虑.
- 突出手术前,手术内和手术后护理的策略,包括高风险的输出管.
主要方法:
- 对当前文献和临床实践进行叙述性审查.
- 对影响呼吸道管理的解剖学和生理学因素的分析.
- 对手术前评估,手术内技术和术后护理策略的评估.
主要成果:
- 使用风险分层,体检和成像的术前评估对于识别潜在困难至关重要.
- 术内选择包括标准的内内管和外科手术方法,如气管切除术,cricothyroidotomy,子脑内管和逆口内管.
- 术后护理和仔细规划对于预防气道阻塞和低氧化症至关重要,而输出管是高风险阶段.
结论:
- 在面外科手术中,全面的,多学科的方法对于最佳的呼吸道管理至关重要.
- 需要在技术和技术方面不断进步,以改善患者的治疗结果.
- 对各种气道管理策略的专业知识确保了整个术前期的患者安全.
更多相关视频
05:43Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
16.6K
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.4K
相关概念视频
01:21Tracheostomy Decannulation
134
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
134
01:17Endotracheal Intubation II: Nursing Management
529
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...
529
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
981
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
981
01:16Tracheostomy 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
01:15Endotracheal Intubation I: Procedure
928
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...
928
01:23Tracheostomy Suctioning II: Procedure
191
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
191