头部升高装置和cricothyroid膜位置在怀孕妇女肥胖类3:一个观察性研究
F Zasso1, A Spring1, J F Casellato1
1Department of Anesthesiology and Pain Medicine, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
International journal of obstetric anesthesia
|June 1, 2025
概括
在肥胖的孕妇中,头部升高显著增加了从胸部口到甲状腺膜 (CTM) 中点的距离. 这种定位不会改变CTM的深度或高度,可能会影响气道管理策略.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 医疗成像医学成像
背景情况:
- 肥胖和怀孕已成为难以输管的风险因素.
- 抬头装置可以在喉腔镜检查期间改善呼吸道可视化.
- 这些设备对孕妇,肥胖个体的呼吸道解剖学的影响仍未得到充分研究.
研究的目的:
- 为了评估头部升高的位置对胸部口和皮甲状腺膜 (CTM) 中点之间的距离的影响.
- 为了评估CTM深度和高度与头部升高在怀孕妇女的变化,与3级肥胖症.
主要方法:
- 一项前性观察性研究,涉及50名患有3级肥胖症的孕妇.
- 气道解剖学被评估使用超声波在卧和抬头的位置.
- 测量包括胸部口到CTM中点距离,CTM深度和CTM高度.
主要成果:
- 随着头部的升高,观察到胸部到CTM中点距离的统计学上显著增加 (平均差异为4.33毫米,P < 0.0001).
- 在CTM深度 (P = 0.66) 或高度 (P = 0.20) 中没有发现显著变化.
结论:
- 在患有3级肥胖症的孕妇中,头部升高延长了胸部口到CTM中点距离.
- 这种定位不会改变CTM的深度或高度.
- 对部超声解剖学的进一步研究对于面临难以输管的高风险患者来说是有必要的.
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