鼻内范围谈判轨迹灵活的鼻喉镜
Vijay Bidkar1, Kalaiselvi Selvaraj2, Amrusha Raipure3
1Department of ENT, All India Institute of Medical Sciences, Nagpur, India.
概括
这项研究比较了两种灵活的鼻喉镜 (F-NPLS) 技术,发现范围谈判的成功率相似. 然而,较低的轮轨迹导致了较少的粘膜创伤和在手术过程中较少的湿疹事件.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗器械 医疗器械
- 诊断程序 诊断程序 诊断程序
背景情况:
- 灵活的鼻喉腔镜检查 (F-NPLS) 是一种用于评估上呼吸道的标准门诊手术.
- 优化F-NPLS包括评估不同的鼻内范围导航技术.
- 患者的舒适性和从业人员的轻松性是程序成功的关键因素.
研究的目的:
- 在F-NPLS期间比较两种不同的鼻内范围导航技术的疗效和患者体验.
- 评估范围轨迹对患者报告的疼痛,粘膜外伤和出血的影响.
- 确定成功和舒适的F-NPLS的最佳方法.
主要方法:
- 一项前性,随机,并行组对照研究,涉及111名接受F-NPLS.患者.
- 患者被随机分为两组:A组 (中轮下) 和B组 (沿下轮).
- 主要结局是成功的范围谈判;次要结局包括疼痛,粘膜创伤,出血和重复手术.
主要成果:
- 在A组 (52.8%) 和B组 (55.2%) 之间成功进行范围谈判的主要结果没有显著差异.
- B组显示F-NPLS在没有粘膜创伤的情况下的频率显著更高 (35.9%与A组的56.9%相比,p=0.004).
- 粘膜湿疹在A组明显更常见 (41.5%对比B组13.8%,p=0.03).
结论:
- 对于F-NPLS的两个鼻内范围轨迹,在初始谈判中取得相似的成功率.
- 较低的轮轨迹 (B组) 与减少的粘膜外伤和湿疹有关.
- 可能需要进一步的研究来解决患者在重复手术期间报告的疼痛.
相关概念视频
01:29Suctioning the Nasopharyngeal Airway
190
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
190
01:15Endotracheal Intubation I: Procedure
274
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
274
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
26
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
26
01:26Tracheostomy Suctioning I: Pre-Procedural Steps
253
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
253
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
139
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
139
01:25Suctioning the Oropharyngeal Airway
117
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
117