输管后喉损伤:发生率,类型和结果在第三级设置
Varchasvi Meena1, Nishant Gill2
1Government Medical College Kota, Kota, Rajasthan, India. varchasvimeena@gmail.com.
概括
口腔和鼻腔内管输入显示了类似的喉损伤率. 熟练的技术是防止输管过程中的并发症的关键,无论选择的途径如何.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术并发症 手术并发症
背景情况:
- 内腔管道输入,在全身麻醉中是一个关键的程序,可以导致喉损伤影响声乐功能.
- 口腔和鼻腔输液管道之间的喉损伤的比较风险尚未确定.
研究的目的:
- 为了前性地比较口腔与鼻内内管管道输入后喉损伤的发生率,严重程度和临床影响.
- 评估输管路线对术后声功能和呼吸道完整性的影响.
主要方法:
- 对67名成人患者进行前性观察性研究,这些患者接受了需要内管道输入的选择性手术.
- 患者被分为口腔 (n=35) 和鼻腔 (n=32) 输管组.
- 喉损伤通过柔性光纤喉腔镜评估在输出管后6小时内,使用Eckerbom分类进行分级;声的严重程度也被记录下来. 统计分析包括奇平方测试和多变量逻辑回归 (p<0.05显著性).
主要成果:
- 在口腔和鼻腔输管组之间,喉损伤的发生率或严重程度没有显著差异 (p=0.67).
- 0级损伤 (没有异常) 在两组中最常见 (口腔65.7%,鼻腔71.9%).
- 声的严重程度分布在各组之间是可比的 (p=0.78);多变量分析没有发现与输管大小,输管持续时间或试图相关的损伤的显著预测因素.
结论:
- 口腔和鼻腔内内管道的输入途径导致输入后喉损伤的发生率和严重程度相似.
- 保持熟练的输内管技术对于最大限度地减少喉并发症至关重要,无论选择的输内管路线如何.
相关概念视频
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
82
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
82
01:15Endotracheal Intubation I: Procedure
3.0K
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...
3.0K
01:17Endotracheal Intubation II: Nursing Management
1.2K
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...
1.2K
01:24Endotracheal Tube Extubation
1.4K
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....
1.4K
01:16Tracheostomy Care I: Pre-procedural Steps
385
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
385
01:23Oxygen Delivering System III: Tracheostomy and T-piece
2.3K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
2.3K