在喉外科手术期间手术内意外脱口的预后因素
D Marković1, M Šurbatović2,3, D Milisavljević4,5
1Clinic for Anesthesiology and Intensive Therapy of University Clinical Center in Niš, Niš.
难以输入管道和切口间隙预测在喉显微镜检查期间的意外输出管. 修改后的马兰帕蒂评分还有助于对这种高风险的头手术进行术前风险评估.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术风险评估手术风险评估
背景情况:
- 头部和部手术,包括喉腔显微镜,具有很高的风险,难以输入管道和意外输出管道.
- 在喉腔显微镜检查期间的手术位置和操作增加了意外输出管的可能性.
研究的目的:
- 在接受喉显微镜检查的患者中确定意外输出管的预测因素.
- 评估手术前测量对预测输管脱的有用性.
主要方法:
- 包括100名接受喉显微镜检查的患者.
- 在手术前和手术后测量了内管深度.
- 评估了难以输管,切口间隙 (IIG) 和修改的Mallampati得分.
主要成果:
- 在难以输管的患者中,输管脱位的频率显著增加 (χ2 =6.632,p =0.010).
- 切口间隙 (p=0.002) 和修改后的Mallampati评分 (p=0.047) 是管突变的显著预测因素.
- 外科医生报告的困难与输管脱位有显著的相关性 (χ2 =13.504,p =0.001).
结论:
- 修改后的马兰帕蒂评分和IIG对于手术前评估意外口风险非常有价值.
- 难以输入管是意外输出管的重要危险因素.
- 调整内管深度可能有助于减轻风险,确保充足的通风.
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