视频喉腔镜用于内管道输管:考虑手动在线稳定,没有宫项圈,而不是完全固定
Kasamon Aramvanitch1, Sittichok Leela-Amornsin2, Welawat Tienpratarn1
1Department of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Therapeutics and clinical risk management
|January 30, 2025
概括
在创伤患者中,使用视频喉镜进行内管道输入时,切除宫硬项圈是不必要的. 这项研究发现,在完全固定和手动在线稳定之间,在没有项圈的情况下,输管成功率没有差异.
科学领域:
- 紧急医疗 紧急医疗
- 航空航道管理的管理.
背景情况:
- 需要限制椎脊柱运动的创伤患者因部和口腔的移动性有限而面临内内输管 (ETI) 的挑战.
- 在医院前设置中移除ETI的宫项圈可能会对神经学结果产生负面影响.
研究的目的:
- 为了比较ETI的成功率,使用视频喉镜 (VL) 在一个人形模型中.
- 为了评估手动在线稳定 (MILS) 的VL输管成功,没有宫硬项圈与完全固定.
主要方法:
- 一项随机研究涉及56名护理生在一个人形上进行VL输管.
- 参与者被分为两组:完全固定和MILS没有宫硬领.
- 主要结果是输管成功率;次要结果包括尝试,时间和Cormack-Lehane分类.
主要成果:
- 在完全固定化组 (100%) 和没有宫硬项圈的MILS组 (100%) 之间,VL输管成功率没有统计学上显著的差异.
- 第一次尝试的成功率分别为85.71%和96.43%,在整体尝试或输管时间上没有显著差异.
- 科尔马克-莱汉分类也显示两组之间没有显著差异.
结论:
- 在使用视频喉镜进行内管道输入时,宫硬项圈不需要被移除.
- 在模拟创伤场景中,没有宫硬领的MILS是VL输管管道的可行替代方案.
- 这些发现支持在医院前设置中在VL辅助ETI期间保持椎脊柱预防措施.
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