新生儿和婴儿输管视频喉腔镜 - 一个系统的审查和元分析
Ilari Kuitunen1,2, Kati Räsänen3,4, Tuomas T Huttunen5,6
1Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland. ilari.kuitunen@uef.fi.
European journal of pediatrics
|November 20, 2024
概括
视频喉腔镜改善了新生儿和婴儿的第一次试管成功率. 这种方法没有增加输管时间,但减少了不良事件,如脱和创伤.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 视频喉腔镜已经证明,在成人和老年儿童中,改善了第一通输管成功和减少了输管时间.
- 视频喉腔镜在新生儿和婴儿的疗效需要进一步的研究.
研究的目的:
- 系统地审查和元分析视频喉腔镜对输管成功,时间和新生儿和婴儿不良事件的影响.
- 使用GRADE框架评估证据的确定性.
主要方法:
- 对13项涉及新生儿 (年龄<29天) 和需要输管治疗的婴儿 (年龄<365天) 的研究进行了系统审查和元分析.
- 分析主要结果,包括第一次尝试成功率,输管时间和不良事件.
- 证据确定性的等级评估.
主要成果:
- 在新生儿 (RR 1.18) 和婴儿 (RR 1.06) 的视频喉腔镜中,观察到更高的第一次试管成功率.
- 在视频和直接喉腔镜之间没有发现输管时间的显著差异 (平均差异为1.2秒).
- 较低的脱和率 (OR 0.62) 和鼻/口腔创伤 (OR 0.24) 与视频喉腔镜相关.
结论:
- 中等确定性证据表明,视频喉腔镜可提高新生儿和婴儿的第一次试验输管成功率.
- 在视频和直接喉腔镜之间,输入管的时间仍然可以比较.
- 建议进行额外的研究,以进一步优化新生儿的第一次输管成功率.
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