类型-1 (中介) 甲状腺整形术的麻醉技术:一个范围审查
Brendan D McNeely1, Amolpreet Toor2, Amanda Hu1
1Division of Otolaryngology Head & Neck Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Journal of voice : official journal of the Voice Foundation
|November 5, 2024
概括
这篇评论探讨了用于媒介化甲状腺整形的麻醉技术,发现局部麻醉和镇静是常见的,并发症很少. 需要进一步的研究来规范结果指标,以获得更好的患者护理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
- 手术结果研究研究.
背景情况:
- 媒介化耳造形术是一种手术程序,用于改善声麻的患者的语音质量.
- 麻醉技术可以显著影响患者的安全,经验和手术结果.
研究的目的:
- 审查和分析用于媒介化胸膜整形的不同麻醉技术.
- 评估这些技术对患者安全,经验和手术结果的影响.
主要方法:
- 在EMBASE,MEDLINE和Web of Science中进行了系统的文献搜索.
- 包括28项英语研究,涉及接受中介化胸腺整形术的成年患者.
- 分析的结果包括语音,并发症,吞,手术时间,停留时间和患者报告的结果措施 (PROM).
主要成果:
- 程序镇静和局部麻醉的联合治疗最常见 (46%),其次是局部麻醉 (29%) 和全身麻醉 (25%).
- 在21%和29%的研究中分别报告了手术内和术后并发症.
- 在50%的研究中评估了语音结果,而PROM和吞结果的评估较少.
结论:
- 介质化胸部整形可以在各种麻醉技术下安全地进行,包括带有或没有镇静剂的局部麻醉和全身麻醉.
- 在不同技术中观察到最少的术后并发症.
- 由于有限的比较数据,未来的研究需要标准化的结果测量.
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