扩张性鼻膜整形术和低光神经刺激后的立即术后变化
Phoebe K Yu1, Victoria Wong1, Kaitlyn Cook2,3
1Department of Otolaryngology, Massachusetts Eye and Ear, Boston, Massachusetts, U.S.A.
The Laryngoscope
|November 27, 2024
概括
低分泌神经刺激 (HGNS) 在手术后的睡眠呼吸暂停措施中没有显著变化. 扩展性喉膜整形 (EP) 导致呼吸暂停-呼吸暂停指数 (AHI) 和氧气不足的增加,需要个性化术后护理.
科学领域:
- 睡眠医学 睡眠医学
- 外科手术的结果
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 增加了外科手术期间的风险.
- 目前OSA的手术干预包括低分泌神经刺激 (HGNS) 和扩张喉膜整形 (EP).
- 评估术后呼吸系统影响对于患者管理至关重要.
研究的目的:
- 评估HGNS和EP对睡眠呼吸暂停严重性的术后影响.
- 用纵向睡眠呼吸暂停测量作为呼吸道并发症的替代品.
- 根据术后观察和护理的临床决策.
主要方法:
- 对30名OSA患者进行了HGNS或EP的前性纵向队列研究.
- 使用NightOwl Mini外周动脉度计 (PAT) 装置进行的睡眠研究.
- 在手术前和后监测的呼吸暂停-呼吸暂停指数 (AHI) 和氧气脱时间低于90% (T90).
主要成果:
- 植入HGNS并没有导致AHI或T90.0的显著变化.
- 扩张性喉膜整形 (EP) 在术后的夜晚1-3显著增加了AHI.
- EP还导致术后第一,第四和第五个晚上T90升高.
结论:
- 在HGNS之后,由于稳定的AHI和低氧化症,不需要进行常规的夜间观察.
- 在EP后的术后管理需要仔细考虑,因为增加了AHI和低氧化.
- 建议对EP处置进行个性化患者评估.
更多相关视频
07:22Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
455
19:53Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
105.8K
相关概念视频
Suctioning the Nasopharyngeal Airway
283
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
283
Endotracheal Intubation II: Nursing Management
486
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
486
Endotracheal Tube Extubation
409
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
409
