在新生儿中使用麦克格拉斯MAC视频喉科镜进行气管管道输液的适当形状的钢笔:一个随机交叉模拟研究
Katsuhide Masui1, Naoyuki Tsunoda1, Ayaka Ito1
1Department of Anesthesiology, Dokkyo Medical University Saitama Medical Center, 2-1- 50 Minami-Koshigaya, Koshigaya, Saitama, 343-8555, Japan.
JA clinical reports
|February 17, 2025
概括
使用视频喉科镜进行新生儿气管输管时使用的笔形状显著影响输管时间. 虽然一些样板形状延长了输管时间,但与没有样板相比,其他样板形状没有差异.
科学领域:
- 新生儿麻醉学新生儿麻醉学
- 儿科的气道管理.
- 医疗设备模拟 医疗设备模拟
背景情况:
- 目前的指导方针建议在新生儿呼吸道管理中使用视频喉科镜.
- 目前还没有证据表明杆是否有助于新生儿的气管管道输入.
- 对于新生儿输管的最佳风笔形状尚不清楚.
研究的目的:
- 用视频喉科镜评估不同笔形状对新生儿气管管道输入时间的影响.
- 为了比较各种样板配置的输管时间与没有样板的情况.
主要方法:
- 进行了一项随机控制的交叉模拟研究.
- 25名麻醉医生使用麦克格拉斯MAC视频喉科镜对新生儿玩偶进行气管输管.
- 测试了四种风格形状 (C形,J形,曲棍球棒,双C形),没有风格.
主要成果:
- 与没有钢笔相比,J形和曲棍球棒形钢笔的输管时间明显更长.
- 没有观察到在没有风笔和C型或双C型风笔之间输管时间的显著差异.
- 在这个模拟中,笔形状显然影响了新生儿气管输管的效率.
结论:
- 在使用视频喉科镜时,使用支架本质上不会改变新生儿的气管管道输液时间.
- 风笔的特定形状是影响输管时间的关键因素.
- C型和双C型风管似乎是合适的替代方案,提供与没有风管相似的输管时间.
相关概念视频
Endotracheal Intubation I: Procedure
586
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...
586
Tracheostomy Care I: Pre-procedural Steps
117
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
117
Tracheostomy: Procedure and Tubes
367
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
367
Tracheostomy Care II: Procedure
103
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
103
Endotracheal Intubation II: Nursing Management
425
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
425
Oxygen Delivering System III: Tracheostomy and T-piece
353
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
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
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...
353


