术后预期和未预期的难以输入管道的临床预测因素:一个匹配的病例对照研究
Pannawit Benjawaleemas1, Maliwan Oofuvong2, Chanatthee Kitsiripant1
1Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, 15 Kanjanavanich Road, Hat Yai, Songkhla, 90110, Thailand.
Scientific reports
|March 18, 2025
概括
预测难以输入管道对于患者的安全至关重要. 预期的呼吸道困难与先前的病史和面部异常有关,而未预期的病例涉及低BMI,高ASA状态以及特定的形或瘤.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 外科手术的安全性
背景情况:
- 难以输入管道在手术期间会带来重大风险.
- 识别预测因素可以改善患者的治疗结果和程序安全性.
研究的目的:
- 为了确定预期和未预期的难以进行内管道输入的临床预测因素.
- 根据外科手术期间风险评估和管理策略提供信息.
主要方法:
- 一个匹配的病例控制研究涉及168个难以输管的病例和504个对照.
- 这些数据是从2015年至2020年间62,111名被直管的患者收集的.
- 多变量条件逻辑回归分析以确定调整的赔率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 预期的难以输入管道预测因素:先前的难以通气道史 (OR:6.4) 和异常的面部外观/综合征 (OR:6.1).
- 预期的难以输管预测因素:低BMI<15 kg/m2 (OR:4.6),ASA身体状况3 (OR:3.6),气道/部/口腔形 (OR:2.1),以及口内/气道/甲状腺瘤 (OR:2.4).
结论:
- 特定的临床因素预测了预期和未预期的困难输管.
- 未经诊断的形或瘤可能会导致意外的呼吸道困难,即使在一般外观正常的患者中也是如此.
- 这些发现有助于主动的经手术的气道管理.
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