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斜宫融合和严重的气道不良事件:系统性审查
Mohammad Faizan Khan1, Janette Bow-Keola2, Ryan Gensler3
1Indiana University School of Medicine, Indianapolis, IN, USA.
概括
手术后的呼吸系统不良事件 (RAE) 发生在部部融合 (OCF) 后并不常见,但严重. 关键风险包括失败的输出管和再输入管失败,需要针对不同年龄组量身定制的管理策略.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
背景情况:
- 椎合 (OCF) 对于椎节状况至关重要.
- 手术后呼吸系统不良事件 (RAE) 是 OCF 后的重大风险.
- RAEs包括重新灌输失败,呼吸道阻塞和延迟的输出管.
研究的目的:
- 系统地审查经OCF后RAE的发病率和严重程度.
- 为了确定与RAE相关的风险因素在OCF之后RAE.
- 评估RAE和结果的年龄相关差异.
主要方法:
- 在主要数据库 (PubMed,Embase,Scopus等) 进行系统的文献搜索. ) 的情况.
- 包括在OCF患者中报告RAE的研究.
- 提取患者的人口统计数据,外科手术期间的变量,X光学参数和呼吸道结果.
主要成果:
- 在28项研究中,RAE发生在429名患者中的11.7%.
- 最常见的是呼吸衰竭 (44%),延迟排气 (28%),呼吸道阻塞 (10%).
- 失败的输出管 (58%) 和重新输入管失败 (61%) 高;儿科患者有更持久的RAE,成人更多的突发事件/致命事件.
结论:
- 在OCF之后的RAE虽然很少见,但导致显著的发病率.
- 先天性和炎症性疾病可能会增加RAE风险.
- 针对特定年龄的管理策略和标准化的呼吸道协议对于高风险人群至关重要.
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