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微袖和电线增强的内管在前椎切除和化的术后并发症上的比较:一项随机研究
S R Janani1, Dheeraj Masapu2, D N Dhananjay3
1Department of Neuroanaesthesia and Neurocritical Care, National Institute of Mental Health and Neuro Science (NIMHANS), Bangalore, Karnataka, India.
微袖子内管 (ETT) 与电线增强ETT相比,在ACDF患者中显著降低了术后声. 这表明微型袖口ETT可以通过保持较低的袖口压力来改善患者的结果.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
背景情况:
- 前椎间盘切除和融合 (ACDF) 手术需要内内管管道输入.
- 术后并发症,包括声,可发生在ACDF后.
- 使用的内管 (ETT) 类型可能会影响并发症率.
研究的目的:
- 在ACDF患者中,比较微袖ETT和电线增强ETT之间的术后并发症的发生率.
- 为了评估ETT类型对手术期间袖口压力变化的影响.
- 评估特定的并发症,如声,喉疼痛,食障碍和.
主要方法:
- 一项随机研究涉及120名ACDF患者.
- 患者被分配到微型手ETT (M组) 或电线增强ETT (W组).
- 术后并发症在输出管时和输出管后长达48小时被评估.
主要成果:
- 微型袖子ETT组 (M) 的起始和后回收袖子体积明显较低.
- 收缩机使用后,袖口压力显著增加,在电线增强ETT组 (W) 中更为如此.
- 术后声在M组 (6.7%) 与W组 (16.6%) (P=0.040) 相比显著降低.
结论:
- 微袖ETT可能会减少ACDF患者手术后的声.
- 使用微型袖口ETT的下袖压力可以保持气管膜 perfusion.
- 在ACDF期间收缩机应用后,微型手ETT可能需要更少的调整.
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