视觉刚性喉腔镜与视频喉腔镜用于老年患者内内管道输入:一个随机对照试验
Lijun Weng1, Binmei Yu1, Lan Ding1
1Department of Anesthesiology, Anesthesiology Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
PloS one
|October 22, 2024
概括
与视频喉腔镜相比,视觉刚性喉腔镜在老年患者中提供更快的输管时间和更少的直接并发症. 血液动力学反应和成功率在两种方法之间是相似的.
科学领域:
- 麻醉学 麻醉学
- 临界护理医学 临界护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 老年患者在气管管道输入方面存在独特的挑战.
- 为老年人群开发最佳的输管工具至关重要.
- 这项研究比较了这群人群中两种常见的喉腔镜技术.
研究的目的:
- 评估视觉刚性喉腔镜与视频喉腔镜的疗效和安全性.
- 为老年患者开发改进的输内管装置提供信息.
- 为了比较输管时间,成功率,血液动力学反应和并发症.
主要方法:
- 一项随机试验,涉及75名接受选择性手术的老年患者.
- 使用视觉硬喉镜 (n=38) 或视频喉镜 (n=37) 进行的气管管道输入.
- 主要结局:输管时间;次要结局:第一次尝试成功,血液动力学变化和术后呼吸道并发症.
主要成果:
- 视觉刚性喉腔镜显示输管时间显著缩短 (35.0s vs 42.5s,P < 0.001).
- 观察到直接并发症的统计学上显著差异 (P < 0.05).
- 在输管成功率或血液动力学反应方面没有发现显著差异.
结论:
- 视觉刚性喉腔镜与较短的输管时间和老年患者立即并发症的减少有关.
- 这两种方法都显示了可比的输管成功率和血液动力学稳定性.
- 这些发现为选择适合老年人输管工具提供了洞察力.
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