药物诱导的睡眠内镜是否会诱导上呼吸道阻塞?
Leon Joseph1, Elie Picard1, Shlomo Cohen1
1Pediatric Pulmonary Unit, Shaare Zedek Medical Center, Affiliated with the Hebrew University School of Medicine, Jerusalem, Israel.
儿童的支气管镜检查可以揭示呼吸道阻塞,即使没有阻塞性睡眠呼吸暂停综合征 (OSAS) 症状. 在手术期间的麻醉可能会导致或加重发现,影响治疗决策.
科学领域:
- 儿科肺病学 儿科肺病学
- 睡眠医学 睡眠医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 药物诱导睡眠内镜 (DISE) 用于诊断阻塞性睡眠呼吸暂停综合征 (OSAS).
- 人们担心,DISE期间的麻醉可能会诱导或加剧在自然睡眠期间不存在的呼吸道阻塞.
- 这项研究研究了多种适应症的儿童在支气管镜检查期间的气道阻塞.
研究的目的:
- 确定儿童在支气管镜检查期间呼吸道阻塞的患病率,特别是那些没有OSAS的临床病史的儿童.
- 评估麻醉对儿科支气管支气管镜检查结果的影响.
- 为了将儿科睡眠问卷 (PSQ) 的结果与支气管镜检查结果 (VOTE分数) 相关联起来.
主要方法:
- 包括接受任何指示的支气管镜检查的儿童.
- 记录了儿科睡眠问卷 (PSQ) 和VOTE分数.
- 分析重点是PSQ结果与VOTE分数之间的关联,特别是在正常PSQ但暗示阻塞的儿童中.
主要成果:
- 在116项调查中,99名患者的PSQ是负的;75%的患者出现了一些,21%的患者完全出现了支气管阻塞.
- 在没有报告打的93名儿童中,73%有一些,16%完全阻塞.
- 在对打进行调查的30名儿童中,97%的孩子有一些,而77%的完全阻塞.
结论:
- 显著的百分比的儿童表现出支气管支气管阻塞,尽管缺乏一个明确的临床史的OSAS.
- 支气管透视期间的麻醉可能会诱导或放大气道阻塞的发现.
- 临床医生在儿童OSAS评估中解释治疗或手术决策的发现时,必须考虑程序诱导的变化.
更多相关视频
07:22Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
05:43Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Sedatives and Hypnotics Drugs: Miscellaneous Agents
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endotracheal Tube Extubation
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....
CNS Depressants: Barbiturates and Benzodiazepines
Upper GI Series: Barium Swallow
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
