淋巴管下喷气通风与淋巴管上喷气通风用于灵活的支气管镜检查:一个随机对照试验
Chunlan Lin1, Chenglong Zhu2,3, Liangqing Lin1
1Department of Anesthesiology, The First Hospital of Putian City, Fujian, China.
与supraglottic方法相比, Subglottic喷气通风在柔性支气管镜检查期间显著减少缺氧. 这种技术使用SEEKflex设备,为安静剂患者提供更安全的氧化策略.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 麻醉学 麻醉学
- 医疗器械 医疗器械
背景情况:
- 灵活的支气管镜检查需要足够的氧气,以防止缺氧.
- 最佳的喷气通风接入路线仍未确定.
- 对比了 subglottic 和 supraglottic 喷气通风的有效性.
研究的目的:
- 为了比较下喷气通风 (SEEKflex) 与上喷气通风 (Wei鼻管).
- 为了评估在镇静下灵活支气管镜术期间的有效性和安全性.
- 为了确定最佳的喷气通风方法来为患者提供氧气.
主要方法:
- 单中心随机对照试验.
- 352名患者在中度至深度镇静下接受灵活支气管镜检查.
- 随机分配到 subglottic 或 supraglottic 喷气通风组.
主要成果:
- 肠下喷气通风显著降低了缺氧发生率 (6.0%与16.6%相比).
- 严重的缺氧,大推力和口罩通风需求在下通风时减少.
- 不同于supraglottic,subglottic通风时没有发生胃 insufflation.
结论:
- 在柔性支气管镜检查期间,支气管下喷气通风在减少缺氧方面更有效.
- 这种SEEKflex装置可为氧化提供优选的小肠下方的方法.
- 这种方法提高了安全性,并减少了镇静患者的不良事件.
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