相关实验视频
Updated: May 23, 2025

09:52
An Implantable System For Chronic In Vivo Electromyography
Published on: April 21, 2020
10.6K
在安置低光神经刺激器后,需要进行术后的胸部X射线
Jacob Beiriger1, Nicole Molin2, Jared Robinson1
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
The Laryngoscope
|March 10, 2025
概括
对于阻塞性睡眠呼吸暂停 (OSA),在低分泌神经刺激 (HGNS) 后立即进行胸部X射线很少是必要的. 这项研究发现并发症率低,这表明在无症状患者中,例行X射线可能是可以避免的.
科学领域:
- 睡眠医学 睡眠医学
- 手术创新 在外科创新.
- 肺部并发症 肺部并发症
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响着数百万人,低分泌神经刺激 (HGNS) 为CPAP提供了替代方案.
- 目前对HGNS的实践通常包括手术后的常规胸部X射线 (CXR).
- 由于肺部并发症的发病率很低,因此对HGNS安置后立即术后CXR的必要性提出了质疑.
研究的目的:
- 为了评估在阻塞性睡眠呼吸暂停 (OSA) 下的低分泌神经刺激 (HGNS) 后立即进行术后胸部X射线 (CXR) 的必要性.
- 为了确定HGNS安置后肺部并发症的发生率.
- 评估常规术后CXR在识别并发症和指导患者管理方面的有用性.
主要方法:
- 在2014年至2021年期间,对361名接受单方面HGNS安置的患者进行了回顾性图表审查.
- 数据分析包括患者人口统计,手术前睡眠研究,术后CXR发现和随后的管理.
- 使用后勤回归和统计分析来确定异常CXR发现的预测因素.
主要成果:
- 肺部并发症很少见,整体异常CXR率为1.4% (2个肺胸病,3个肺).
- 患有异常CXR的患者更有可能报告呼吸系统症状,并需要长时间住院.
- 在正常和异常CXR发现的患者之间没有发现显著的人口或临床差异.
结论:
- 当经验丰富的外科医生进行阻塞性睡眠呼吸暂停 (OSA) 的低神经刺激 (HGNS) 手术时,肺部并发症的发生率很低.
- 术后立即的胸部X射线 (CXRs) 可能对无症状患者在HGNS后不必.
- 仍然建议进行常规的术后成像,以确认在康复期间正确的硬件放置.
相关概念视频
Pneumothorax-II
112
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
112
Endotracheal Intubation II: Nursing Management
415
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...
415
Tracheostomy: Procedure and Tubes
347
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...
347
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
159
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
159
Tracheostomy Care I: Pre-procedural Steps
112
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:
112
Suctioning the Nasopharyngeal Airway
236
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
236

