在新生儿重症监护室的新生儿气管输管:文献综述
Jenna L Schaefer-Randolph1, Spencer G Shumway1, Colin W Fuller2
1College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Healthcare (Basel, Switzerland)
|June 13, 2025
概括
近一半的新生儿气管输管 (TI) 没有成功,成功率随着提供者经验和视频喉腔镜的使用而有所改善. 标准化协议和更好的培训等策略可以减少新生儿重症监护室 (NICU) 的并发症.
科学领域:
- 新生儿医学 新生儿医学
- 儿科重症监护 儿科重症监护
- 麻醉学 麻醉学
背景情况:
- 新生儿气管输管 (TI) 是新生儿重症监护室 (NICU) 中常见但具有挑战性的手术.
- 报告了高率的输管失败和不良事件,影响了患者的结果.
- 影响成功的因素和改进策略需要全面审查.
研究的目的:
- 审查影响新生儿气管内输管 (TI) 成功的因素.
- 在不同的临床环境中比较TI结果.
- 确定改善新生儿TI结果的策略.
主要方法:
- 关于新生儿气管输管的PubMed索引研究 (2000-2024) 的文献综述. 新生儿气管输管.
- 包括英语出版物和手册文献评价.
- 发现的定性综合,按程序结果,环境和提供者培训分类.
主要成果:
- 近50%的新生儿TI都没有成功,每次尝试都会增加不良事件.
- 经验丰富的提供者 (临床医生) 的首次通过成功率 (FPSR) 更高.
- 视频喉腔镜显示出有希望的结果,特别是对于困难的呼吸道,但直接喉腔镜更为常见;前期治疗未得到充分利用,但有益.
结论:
- 改善新生儿气管输管 (TI) 的成功需要标准化的协议,增强基于模拟的培训和多学科的方法.
- 提供者经验和适当的技术 (例如,视频喉腔镜) 是至关重要的.
- 进一步研究优化气道管理和专家参与是有必要的.
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