相关实验视频

Updated: Apr 7, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

纤维光学支气管镜监测在皮肤扩展性气管切除术:一个多中心,随机,受控试验. 这就是FIBERTRACH随机临床试验

José Manuel Añón^1,2,3, Juan Carlos Figueira^1,2, Belén Civantos^1,2

¹Department of Critical Care Medicine, Hospital Universitario La Paz, Madrid, Spain.

Critical care medicine

|February 27, 2026

概括

透皮扩展性气管切除术 (PDT) 的内镜指南显示,与非内镜PDT相比,术后并发症没有显著差异. 常规内镜使用对于在接受PDT的重症患者中减少并发症并不优越.

科学领域:

临界护理医学临界护理医学
手术手术手术手术手术手术手术手术手术手术
呼吸系统疗法呼吸系统疗法

背景情况:

穿皮扩张气管切除术 (PDT) 是用于长时间机械通风的常见程序.
内镜指导通常用于提高PDT期间的安全性和有效性.
在PDT中常规内镜指导的比较益处仍在调查中.

研究的目的:

为了比较内镜引导和非内镜引导的PDT之间的术后并发症的患病率.
评估二次结果,包括气道压力,气体交换和死亡率.

主要方法:

一个多中心的随机试验,涉及442名在西班牙ICU接受PDT的成年患者.
患者被随机分配到使用单一扩张方法进行内镜引导或非内镜引导的PDT.
进行了治疗意向分析.

主要成果:

没有观察到术后并发症发生率的显著差异 (11.3%与13.1%,p = 0.663).
内镜引导的PDT与更高的峰值吸气压力 (p < 0.001) 和更高的Paco2 (p = 0.001) 相关.
医院出院时的全因死亡率是次要的终点.

结论:

在重症患者中,PDT的常规内镜指导并不能降低术后并发症的发生率.
非内镜指导是PDT的可行的替代方案,当经验丰富的临床医生进行时.
进一步的研究可能会探索特定的患者亚组,其中内镜指导可能会带来好处.

关键词:

并发症可能导致并发症.危急病患者的病情非常严重.内镜指导的指导.纤维光学内镜的内镜通过皮肤进行的气管切除术.

更多相关视频

The Rigid Tube as an Alternative in Controlling the Problematic Airway

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

相关概念视频

Clinical Trials

Clinical Trials

Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...

Clinical Trials: Overview

Clinical Trials: Overview

Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...