呼气中枢气道崩和带有持续正压定位的气动支架:一种技术描述
Rodrigo Funes-Ferrada1, Alejandra Yu Lee-Mateus1, Alanna Barrios-Ruiz1
1Division of Pulmonary, Allergy, and Sleep Medicine, Mayo Clinic, Jacksonville, FL.
本研究概述了在呼吸中心气道崩 (ECAC) 动态灵活支气管镜检查 (DB) 期间持续正气道压力 (CPAP) 定位的逐步指南. 该技术在33名患者中安全地实现了气道通透.
科学领域:
- 肺部病理学 肺部病理学
- 干预性支气管镜检查是一种干预性支气管镜检查.
- 呼吸道疾病 呼吸道疾病
背景情况:
- 呼气中心气道崩 (ECAC) 带来了诊断上的挑战.
- 动态灵活支气管镜 (DB) 为评估和干预提供了一个潜在的方法.
- 需要在DB期间进行CPAP定位的标准化协议.
研究的目的:
- 在DB期间提供CPAP定位的标准化逐步指南.
- 详细说明使用气动支架管理ECAC的技术.
- 为未来关于ECAC干预的研究奠定基础.
主要方法:
- 对33名接受DB的患者进行描述性研究,并对ECAC进行CPAP定位.
- 患者接受轻度镇静;通过动态呼吸机动评估气道缩性.
- 连续正气道压力 (CPAP) 从6厘米H2O定位以保持气道通透度.
主要成果:
- 所需的CPAP设置中位数为12厘米H2O (IQR,10-14厘米H2O).
- 没有报告任何程序内或程序后并发症.
- 该技术在不同程度的ECAC严重程度的患者中得到了成功的应用.
结论:
- 本研究提供了CPAP在DB期间定位的详细指南.
- 描述的技术支持ECAC管理的系统方法.
- 这种方法可以促进进一步研究ECAC的气动支架.
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