声带患者的呼吸道管理:对输管技术,手术期间的挑战和结果的审查
Rayyan Bhutta1, Ali Osman1, Tala Maya2
1Anesthesiology, Ohio University Heritage College of Osteopathic Medicine, Dublin, USA.
Cureus
|October 28, 2025
概括
声带麻 (VCP) 复杂化了呼吸道管理,影响了输管成功和增加风险. 需要进一步的研究,以实现最佳的术后规划和VCP病例患者安全.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 关键护理医学 关键护理医学
背景情况:
- 声带麻 (VCP) 对呼吸道管理提出了重大挑战,特别是在内内管管道输入过程中.
- 单边和双边VCP影响输管技术,第一通成功和输管安全.
研究的目的:
- 审查VCP在内内管管道输入过程中对气道管理的影响.
- 探索对患有VCP的患者进行外科手术期间的气道规划方面的考虑.
- 确定有关VCP和气道管理的文献上的差距.
主要方法:
- 对当前实践和临床考虑的文献综述.
- 在VCP患者中,视频喉腔镜 (VL) 与直接喉腔镜 (DL) 的分析.
- 为麻醉提供者综合信息.
主要成果:
- 视频喉腔镜 (VL) 提供了改进的可视化,但不能保证成功放置在VCP.
- 在VCP患者中增加呼吸道,吸气和袖口错位的风险.
- 在没有预防或计划的情况下,VCP患者容易受到输出管后并发症的影响.
结论:
- 目前对VCP的气道管理策略需要进一步调查.
- 需要更多的研究来比较VCP中的直接喉腔镜和视频喉腔镜.
- 增强的术后规划和潜在的类固醇预防对于VCP患者至关重要.
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