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Updated: Jul 12, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation

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Published on: January 17, 2011

一个随机对照试验,比较视频喉腔镜与传统的盲人技术,用于在接受心脏手术的儿科患者中插入跨食管心声扫描探针:试点研究

Guriqbal Singh¹, Jigisha Pujara¹, Ankit Chauhan¹

¹Department of Cardiac Anaesthesia, U.N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat, India.

Indian journal of anaesthesia

|March 31, 2025

概括

视频喉镜 (VL) 在小儿心脏手术患者的经食道心声学 (TEE) 探针插入期间使用视频喉镜 (VL) 显著减少了喉损伤. 这种方法还减少了成功放置TEE探头所需的尝试次数.

科学领域:

儿科心脏手术儿科心脏手术
麻醉学麻醉学
医疗器械医疗器械

背景情况:

穿越食道心声学 (TEE) 探针插入可能导致心脏手术的儿科患者喉和食道损伤.
在TEE探头放置后,口腔关损伤评估至关重要.

研究的目的:

评估小儿心脏手术患者TEE探头插入后使用视频喉镜 (VL) 检查口腔损伤的发生率.
为了比较VL引导TEE探头插入的安全性和有效性与传统的盲目插入.

主要方法:

一项随机对照研究,涉及100名儿科患者 (2-10岁) 接受了需要TEE的选择性心脏手术.
患者被随机分为两组:常规盲装插入 (C组,n=50) 和VL引导插入 (VL组,n=50).
在TEE探头被移除后,使用VL评估了口腔关损伤;进行了损伤部位的文档.

主要成果:

喉粘膜损伤的发生率在VL组 (2/50) 与常规组 (9/50) 相比显著较低 (P=0.025).
在VL组中,成功插入TEE探头的尝试数量显著低于VL组 (P<0.05).
第一次尝试成功插入TEE探头的平均持续时间在VL组显著更长 (P<0.0001).

结论:

视频喉镜 (VL) 用于TEE探头插入儿科患者显著减少喉损伤的发生率.
VL提供了食道入口的直接可视化,提高了TEE探针放置期间的安全性.
在儿科心脏外科手术中,VL引导插入可能是一种比传统盲导插入TEE更安全的替代方案.

关键词:

心脏外科手术是一项心脏手术.在TEEEE中,你会看到TEE.喉镜检查 (Laryngoscopy) 是一种用于检查喉的方法.消化道损伤的伤害耳鼻喉损伤的伤害情况儿科儿科儿科跨食道管回声心电图 (Transoesophageal Echocardiography) 是一种心脏回声仪,可以通过心脏回声进行检查.视频耳鼻镜视频耳鼻镜

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