清醒与睡眠输液管道对中直肠:一个系统的审查和元分析
Lindsay E Booth1, Norbert Banyi1, Peter Rose2
1Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
概括
中枢管中输管失败的风险很低,发病率为0.3%. 虽然清醒静脉注射通常是首选的,但睡眠静脉注射也显示出这些复杂病例的高成功率.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 中胸带来麻醉挑战,往往需要清醒的输内管.
- 醒着输管,虽然有效,但可能是资源密集型和不舒服的患者.
研究的目的:
- 为了比较醒着对睡眠输管的结果,在接受甲状腺切除术的患者中进行中枢.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 在多个数据库中进行了搜索 (Medline,Embase,科学网,CINAHL,Scopus,Cochrane).
- 包括12项涉及1002名患者的研究,使用3级随机效应模型进行分析.
主要成果:
- 整体失败输管率很低,为0.3% (3例).
- 整体而言,无并发症输管率为91%.
- 醒着的输液管道显示出96%的成功率,而睡眠输液管道的成功率为88%.
结论:
- 在中喉中输管失败并不常见.
- 睡眠输管是一种可行的和有效的选择,成功率很高.
- 需要进一步的研究来标准化输管困难的定义.
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