在空气医学快速序列输管过程中选择性使用正压通风用于氧化前
Alexandra Herndon1, Kira Chandran2, Daniel P Davis3
1University of California at Irvine, Irvine, California.
The Journal of emergency medicine
|October 1, 2024
概括
在氧化前期间的正压通风 (PPV) 有助于低血症患者接受快速序列输管 (RSI). 然而,它对常态血患者没有任何好处,并且增加了吸收风险.
科学领域:
- 紧急医疗 紧急医疗
- 麻醉学 麻醉学
- 关键的护理关键的护理
背景情况:
- 预氧化对于安全的快速序列输管 (RSI) 来说至关重要.
- 由于潜在的吸气风险,在氧化前进行正压通风 (PPV) 是一个有争议的问题.
研究的目的:
- 分析在航空医疗RSI期间使用PPV的风险-收益.
- 为了确定PPV是否能改善输管成功并减少并发症.
主要方法:
- 航空方法航道登记册 (超过5年) 的回顾性分析.
- 对常态血 (SpO2 ≥93%) 和低血 (SpO2 <93%) 患者的比较.
- 主要结局:第一次试管成功 (FAS) 和没有脱的FAS (FASWD).
主要成果:
- 使用PPV与normoxemic患者的输管成功降低有关.
- 在低血量患者中,PPV使用改善了输管成功.
- PPV使用与更高的吸入事件风险相关 (p = 0.007).
结论:
- 在氧化前期间的PPV对接受RSI的低血症患者有益.
- 对于正常血患者来说,PPV是不有益的,并且增加了吸血风险.
- 在RSI之前选择性地使用PPV是由这些数据支持的.
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