相关实验视频
Updated: Sep 17, 2025

11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
17.7K
在儿科的牙科治疗中使用普罗波福尔辅助深度拔牙:一种随机对照的三重盲试验
Wei Cui1, Xiang Zhang1,2, Ying Shang3
1Department of Stomatology, The No.2 Hospital of Baoding, Baoding, 071051, China.
BMC anesthesiology
|July 2, 2025
概括
在儿科牙科患者中,醇辅助的深度输出管 (DE) 与清醒输出管 (AE) 相比,显著减少了呼吸道并发症和输出管时间. 这种方法提供了更顺的恢复,更少的血液动力学波动和更少的术后不适.
科学领域:
- 麻醉学 麻醉学
- 儿科牙科 儿科牙科
- 航空航道管理的管理.
背景情况:
- 在麻醉后出现的呼吸道管理对于儿科患者至关重要.
- 儿童的牙科手术通常需要全身麻醉和输管.
- 传统的清醒输出管 (AE) 可能与呼吸道并发症和患者的痛苦有关.
研究的目的:
- 为了评估醇辅助深度输出管 (DE) 与清醒输出管 (AE) 的疗效和安全性.
- 为了比较儿童牙科患者呼吸系统不良事件和其他并发症的发生率.
- 评估血液动力学稳定性和患者舒适度在输出管过程中.
主要方法:
- 一项前性随机研究,涉及60名接受牙科治疗的儿科患者.
- 患者被分配到深度输出管 (DE,n=30) 或清醒输出管 (AE,n=30) 组.
- 主要终点:呼吸系统不良事件的发生率;次要终点:输出管的时间,醒来的时间,血液动力学变化,涌现动荡和输出管后症状.
主要成果:
- 深度输出管组显示呼吸系统不良事件的发生率明显较低 (0.0%对23.3%,P=0.016).
- 在DE组中,输出管的时间显著缩短 (2.78分钟与5.50分钟相比,P<0.001).
- 在DE组中,血液动力学波动较少 (MAP和HR较低),出现动荡减少,喉疼痛和声率较低.
结论:
- 普罗波福尔辅助深度输出管是儿科牙科患者的优越技术,减少了气道并发症和输出管时间.
- 这种方法促进了更顺的输出,改善了血液动力学稳定性和减少了输出后的不适.
- 坚持特定的深层输出管协议对于实现最佳结果至关重要.
相关概念视频
Parenteral Anesthetics: Overview
205
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
205
Endotracheal Tube Extubation
1.5K
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....
1.5K
Endotracheal Intubation I: Procedure
3.2K
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...
3.2K
Endotracheal Intubation II: Nursing Management
1.3K
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...
1.3K
General Anesthesia: Overview
299
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
299
Inhalational Anesthetics: Overview
537
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
537

