已经晚了吗? 成人宫变形纠正手术后延迟输出风险因素和相关因素
Ankita Das1, Oluwatobi Onafowokan1, Jenny De Jong2
1Department of Orthopedic and Neurological Surgery, Duke University Medical Center, Durham, NC, USA.
Spine
|August 22, 2025
概括
在成人宫变形手术中,较高的基线脆弱性和更高的放射性校正与延迟的输出有关. 尽量减少手术期间的流血和纠正程度可能会降低这种风险.
科学领域:
- 脊椎手术
- 整形医学
- 神经外科
背景情况:
- 在成人宫变形手术 (ACD) 后的延迟输出 (DE) 报告不足.
- 手术地点与呼吸道结构的接近需要呼吸道管理策略.
研究的目的:
- 在ACD手术中评估患者因素,手术参数和延迟输出管之间的关系.
- 确定延迟输出管的预测因素及其对外科手术结果的影响.
主要方法:
- 在82名ACD患者的回顾性队列研究中.
- 患者分为延迟输出管 (DE) 或成功输出管 (非DE) 组.
- 回归分析确定了预测因素和并发症的关联.
主要成果:
- 这种疾病与埃德蒙顿的虚弱度和吸烟史有关.
- 较低的仪器脊椎和更大的脊柱对齐校正 (cSVA,MGS) 增加了DE的可能性.
- DE预测了更糟糕的6周VR-物理成分得分,并且与更高的SICU入院率有关.
结论:
- 在ACD手术中,基线脆弱性和更大的放射性校正与延迟的输出有关.
- 尽量减少手术期间的流血和纠正程度可能会降低ED的发生率.
- 延迟输出管会影响外科手术前的生活质量.
相关概念视频
Endotracheal 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
Endotracheal 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
Endotracheal 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
Tracheostomy: Procedure and Tubes
1.2K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
1.2K
Tracheostomy Decannulation
387
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
387
Tracheostomy Care I: Pre-procedural Steps
383
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:
383


