在头癌手术中进行气道评估和管理
Chiara Mossinelli1, Giacomo Pietrobon1, Stefano Zorzi1
1Department of Otorhinolaryngology and Head and Neck Surgery, European Institute of Oncology IRCCS, Milan, Italy.
概括
在头癌手术 (HNCS) 期间管理呼吸道是复杂的. 这项研究为HNCS的气道管理提供了实用的流程图,提高了患者的安全.
科学领域:
- 麻醉学 麻醉学
- 头部和部手术 头部和部手术
- 在瘤学瘤学.
背景情况:
- 头癌手术 (HNCS) 在呼吸道管理方面存在重大挑战.
- 呼吸道困难和麻醉不良事件是HNCS的常见风险.
研究的目的:
- 描述在HNCS中对气道管理的经验.
- 提出一个流程图来优化HNCS.中的气道管理策略.
主要方法:
- 在全身麻醉下对200名患有恶性上呼吸道瘤的HNCS患者进行了回顾性分析.
- 在欧洲瘤研究所 (意大利米兰) 从2022年1月到2023年1月收集的数据.
主要成果:
- 喉 (44.5%),口腔 (30.5%) 和口腔 (20%) 是最常见的癌症部位.
- 气道管理技术包括口腔管输入 (61%),鼻管输入 (15%),清醒光纤输入 (15%) 和气管切除术 (9%).
- 针对晚期喉癌,进行了三次紧急气管切除术.
结论:
- 在HNCS中有效的气道管理需要精细的规划和清晰的沟通.
- 一个明确的策略和麻醉师和外科医生的合作对于成功的结果至关重要.
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