区域性肺透气在supraglottic和subglottic喷气通风:一个随机交叉试验
Marita Windpassinger1, Michal Prusak2, Jana Gemeiner2
1Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Division of General Anaesthesia and Intensive Care Medicine, Medical University of Vienna, Vienna, Austria; OutcomeResearch Consortium®, Houston, TX, USA.
在喉外科手术中使用的 subglottic喷气通风,与supraglottic喷气通风相比,改善了氧化和背肺通风. 这两种方法都有效地消除了二氧化碳.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统生理学 呼吸系统生理学
- 手术通风器 手术通风器
背景情况:
- 在喉外科手术中,使用了上喉和下喉喷气通风.
- 假设supraglottic通风可以提供优越的通风和预防脱氧.
研究的目的:
- 为了评估是否supraglottic通风导致更多的后部通风分布,表明更好的依赖肺通风.
- 为了评估是否supraglottic通风增强氧化和二氧化碳的消除.
主要方法:
- 在手术室环境中进行了一项随机交叉试验.
- 包括30名接受选择性微喉外科手术的患者.
- 通过电阻断层扫描评估区域通风,并进行动脉血液气体分析.
主要成果:
- 在上和下喷气通风之间,在通风中心没有发现显著的差异.
- 超隔膜透气显示,中腹肺透气量略有增加,背肺透气量减少.
- 动脉氧化在超节通风时明显恶化,而二氧化碳排放则相似,超节通风略有优势.
结论:
- 透气分布的中心在supraglottic和subglottic喷气通风之间是可比的.
- 下喷气通风改善了背部依赖的肺通风,并提供了优越的动脉氧化.
- 这两种技术都实现了有效的二氧化碳消除.
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