穿皮气管切除术手术和患者在三级重症监护室的结果:一个单一中心的经验
Ayşe Vahapoğlu1, Ayfer Kaya Gök, Zuhal Çavuş
1Department of Anesthesiology and Intensive Care, University of Health Sciences, Gaziosmanpaşa Training Research Hospital, Istanbul, Turkey.
在重症监护室 (ICU) 进行的早期和晚期气管切除术对28天死亡率没有影响. 然而,长时间的机械呼吸和气管切除术并发症增加了死亡风险.
科学领域:
- 临界护理医学 临界护理医学
- 呼吸系统疗法 呼吸系统疗法
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 在需要在重症监护室 (ICU) 长期机械通风 (MV) 的患者中进行气管切除术的最佳时间被争论.
- 穿皮扩张气管切除术是常见的ICU手术.
研究的目的:
- 分析五年来ICU中穿皮扩张气管切除术的时间.
- 评估气管切除术时间对28天死亡率的影响.
主要方法:
- 一个单一中心的回顾性研究包括283名患者 (112名早期≤14天,171名晚期>14天) 接受了气管切除术.
- 收集的数据包括诊断,并发症,MV持续时间,并发症,停留时间和死亡率.
- 多变量考克斯回归分析评估了气管切除术时间对死亡风险的影响.
主要成果:
- 接受早期气管切除术的患者有较短的MV持续时间,ICU停留,住院和更少的输出管试验.
- 在28天ICU死亡率中,早期和晚期气管切除组之间没有统计学上显著的差异.
- 死亡风险与长期的MV和气管切除术并发症有关. 晚期气管切除显示,息治疗患者的死亡率较低.
结论:
- 在多变量分析中,ICU中的气管切除术时间没有显著影响28天整体死亡风险.
- 长时间的机械通风和气管切除术并发症是影响死亡率的关键因素.
- 建议进行前性随机研究,以进一步调查气管切除术时间.
更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
04:43Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
相关概念视频
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Oxygen Delivering System III: Tracheostomy and T-piece
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy: Procedure and Tubes
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Care I: Pre-procedural Steps
Required Equipment
The equipment necessary for tracheostomy care includes:
Tracheostomy Care II: Procedure
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Tracheostomy Suctioning II: Procedure
