气管输液后的术后喉痛:一个更新的叙述审查和呼吁采取行动
Zheping Chen1,2, Zhenxiang Zuo3,4, Le Zhang2,4
1Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Translational Research Institute of Brain and Brain-Like Intelligence, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, 200434, People's Republic of China.
Journal of pain research
|May 12, 2025
概括
气管输管术后的术后喉痛 (POST) 是常见的,但经常被忽视. 本综述强调了其机制,风险因素,并探讨了药理学,非药理学和传统中医药的预防和管理策略.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 关键护理医学 关键护理医学
背景情况:
- 手术后喉疼痛 (POST) 是气管管道输液后的一个常见并发症.
- 尽管POST很常见,但由于其典型的温和和自我限制性,经常被低估.
- 本综述综合了关于POST的当前知识,重点关注其机制,贡献因素和管理.
研究的目的:
- 为提供术后喉痛的最新叙事综述.
- 总结关于POST机制,风险因素和临床评估的最新研究.
- 概述目前和新兴的POST的预防和治疗策略.
主要方法:
- 在PubMed,Web of Science和Cochrane数据库中进行了全面的文献搜索.
- 关键词包括"术后喉痛"和"气管管道输液".
- 数据被独立审查员选,合成和分析,以确定相关发现.
主要成果:
- POST的确切原因尚不清楚,但很可能涉及到气管管道输入和袖口压力引起的炎症.
- 风险因素涵盖了手术前,手术内和手术后的时间.
- 预防策略包括药物学 (NSAIDs,类固醇),非药物学 (温和输管) 和传统中医 (TCM) 方法,非药物学方法显示有前景.
结论:
- 建议提高POST的临床意识,因为它在气管管道输入后的发病率很高.
- 建议将POST预防和管理纳入常规临床实践.
- 需要进一步的研究来阐明TCM机制,并验证其对POST的有效性.
相关概念视频
01:17Endotracheal Intubation II: Nursing Management
342
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...
342
01:26Tonsillitis II: Management
96
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
96
01:23Tracheostomy Suctioning II: Procedure
122
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
122
01:16Tracheostomy Care I: Pre-procedural Steps
93
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:
93
01:15Endotracheal Intubation I: Procedure
392
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
392
01:24Endotracheal Tube Extubation
241
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
241