在接受胸腔镜检查的猫身上,用光镜辅助的支气管内输管
Natali Verdier1, Giorgio Mattaliano1, Brigitte Degasperi1
1Clinical Department for Small Animals and Horses, University of Veterinary Medicine Vienna, Austria.
Veterinary anaesthesia and analgesia
|February 8, 2025
概括
使用修改后的内管的新技术在猫身上实现了单肺通风,在没有专用设备的情况下提供了替代方案. 这种方法促进了胸腔管绑定,取得了成功的结果.
科学领域:
- 兽医麻醉学 兽医麻醉学
- 胸部外科手术 胸部外科手术
- 比较医学是一种比较医学.
背景情况:
- 一肺通风 (OLV) 对于优化胸部手术过程中的外科可视化至关重要.
- 在兽医中,可用的专门设备,如支气管阻塞剂或柔性支气管镜,可能是有限的.
- 实现OLV的替代方法对于猫患者的成功胸部手术至关重要.
研究的目的:
- 描述一种新的方法,用于在接受胸腔镜检查的猫身上实现单肺通风 (OLV).
- 作为标准OLV设备的替代品,提出一种经过修改的单内管技术.
- 评估这种新型OLV方法在临床环境中的可行性和安全性.
主要方法:
- 一个修改后的,延长的单内管被用于OLV.
- 计算机断层扫描 (CT) 扫描用于手术前测量相关解剖距离.
- 一个导线和光镜引导了内管进入左侧主要支气管的放置.
- 通过压力控制,阳性末尾呼气压力和容许性超气来控制通风.
主要成果:
- 新的OLV技术在8分钟内成功实施,没有任何重大并发症.
- 最初的OLV确认是基于单边胸部外观.
- 胸腔镜可视化证实了右肺脱氧,验证了成功的OLV.
- 在整个过程中都保持了适当的通风.
结论:
- 这种修改后的内管技术为实现猫的单肺通风提供了可行的替代方案.
- 当标准OLV设备无法使用时,该方法是有效的,增强了手术选择.
- 这种方法可能适用于其他需要胸部手术的小型动物物种.
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