在急性疾病成年人的研究中,输出管术后内功能内镜评估的可行性
Vinciya Pandian1,2,3, Sai Phani Sree Cherukuri4, Mounica Koneru5
1Center for Immersive Learning and Digital Innovation, Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park.
American journal of speech-language pathology
|March 28, 2025
概括
灵活的鼻喉镜检查 (FNL) 是可行的,在研究环境下,在急性病的成年人进行输出管术后,这种检查是可行的,并且耐受良好. 这一评估对于未来的研究和加强重症监护室 (ICU) 患者护理至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 灵活的鼻喉镜 (FNL) 是重症监护室 (ICU) 的标准工具,用于评估喉功能.
- 与常规的临床实践相比,研究协议可能会对FNL程序构成独特的挑战.
- 了解FNL在研究中的可行性对于推进研究输出管后喉结果至关重要.
研究的目的:
- 根据研究方案,评估在患重病的成年患者中,在输出管后72小时内进行柔性鼻喉镜术 (FNL) 的可行性.
- 在研究背景下评估患者耐受性和与输出管后FNL相关的次要结果.
主要方法:
- 一项前性研究招募了六个重症监护室的机械通风成年患者.
- 主要终点是在输出管后72小时内成功完成FNL.
- 二级结局包括吞功能评估,入学率,手术时间和疼痛评分.
主要成果:
- 75% (80/107) 的符合条件的患者成功完成了柔性鼻喉镜检查 (FNL).
- 从输出管到FNL的中位时间为10小时,中位过程持续时间为8.5分钟.
- 患者仅报告轻度不适 (中位疼痛评分为2/10),表明耐受性良好.
结论:
- 抽出管后柔性鼻喉镜术 (FNL) 是一种可行的,在临床病情严重的成年人中在研究方案中耐受良好的程序.
- 这些发现支持使用FNL作为研究中的参考标准,以更好地了解机械通风后喉功能.
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