通过通道内镜进行雾化利多卡因用于办公室喉科手术
Dylan Z Erwin1, Abigail N Kennedy2, Matthew Y Liu1
1Department of Otolaryngology - Head & Neck Surgery, University of Texas Health San Antonio, San Antonio, Texas, USA.
The Laryngoscope
|October 17, 2025
概括
道雾化利多卡因改善了患者的耐受性,并减少了办公室喉科手术的剂量. 虽然它可能会增加手术时间,但大多数患者更喜欢这种方法,而不是传统的麻醉.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
- 医疗器械 医疗器械
背景情况:
- 基于办公室的喉科手术需要有效的局部麻醉,以使患者耐受.
- 传统的麻醉方法,如透气管注射或滴滴导管,在患者的舒适性和有效性方面可能存在局限性.
研究的目的:
- 为了比较局部利多卡因通过道内镜输送的疗效和患者体验,与办公室喉科学的传统麻醉技术相比.
主要方法:
- 一项前性交叉研究,涉及22名接受办公室喉科手术的成年患者.
- 患者接受了道雾化利多卡因和传统麻醉 (透气管或滴液导管),作为他们自己的对照.
- 评估了患者报告的结果,包括程序耐受性和麻醉偏好.
主要成果:
- 与传统方法相比,道雾化利多卡因显著降低了利多卡因剂量和患者报告的不适以及咳/口腔反射.
- 虽然道雾化利多卡因与麻醉和整体手术时间的增加有关,但与滴水导管输送相比,没有发现显著差异.
- 大多数患者 (63.6%) 喜欢道雾化利多卡因方法.
结论:
- 通过内镜工作通道输送的雾化利多卡因在办公室手术中为局部喉麻醉提供了改进的选择.
- 这种方法提高了患者的耐受性,并减少了麻醉剂量,尽管可能更长的程序持续时间.
- 进一步的研究可能会探索优化分娩以减轻增加的手术时间.
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