在剖腹产期间难以输入管道的比率:在标准化气道管理实施研究之前/之后的一个中心
Yitzhak Brzezinski Sinai1, Eleni Anna Papadimitraki1, Victor Rabkin1
1Division of Anaesthesia, Pain, Critical Care, Tel Aviv Sourasky Medical Centre Affiliated with the Faculty of Medicine, Tel Aviv University, Israel.
International journal of obstetric anesthesia
|September 21, 2024
概括
在剖腹产 (CD) 期间实施全身麻醉 (GA) 的新气道管理策略并没有减少困难输管率. 在这项研究中,标准化建议对输管成功没有显著影响.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 航空航道管理的管理.
背景情况:
- 剖腹产 (CD) 的全身麻醉 (GA) 带有困难和失败的输管风险.
- 基于证据的策略对于减轻这些风险至关重要.
- 这项研究评估了在GA下对CD的特定气道管理建议.
研究的目的:
- 分析在实施三个特定的气道管理建议后,在全身麻醉下剖腹产的困难输管率.
- 评估这些建议在减少难以输管的发病率方面的有效性.
主要方法:
- 在全身麻醉下进行剖腹产的1462例剖腹产病例 (2013-2022) 的回顾性单中心研究.
- 在实施推之前 (2013-2018) 和之后 (2019-2022) 的结果进行比较:视频喉腔镜,第二位麻醉师和特定的内管大小.
- 难以输管,定义为>1次尝试,使用救援设备,或SpO2 <90%.
主要成果:
- 难以输管的频率保持相似:在实施前为25.9%,在实施后为25.0% (p=0.71).
- 实施的建议与难以输管的可能性降低无关.
- 在实施后的时期,所有三项建议的采用率都显著提高.
结论:
- 在全身麻醉下进行剖腹产的标准化气道管理建议并没有显著影响难以输管的发生率.
- 没有实现所有推策略的普遍采用.
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