腹部置换通气:镇静性缺氧的有效干预。

Biomedicine Hub Pub Date : 2019-04-02 eCollection Date: 2019-01-01 DOI:10.1159/000497776
Nikhil Meena, Maggie Macchiarella, Jose Diego Caceres, Thaddeus Bartter
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引用次数: 0

摘要

背景:支气管镜检查时镇静有时会导致缺氧。应用正压通气治疗镇静性缺氧通常需要停止支气管镜检查。相反,通过周期性腹部压迫进行通气,如果有效,将允许进行支气管镜检查。初步试验证明腹置换通气(ADV)是成功的。目的:评价和报告ADV在长时间连续患者镇静性缺氧情况下的疗效和适用性。方法:根据其最初的疗效,将ADV纳入镇静性缺氧的标准治疗方法。我们回顾性地回顾了在12个月的时间间隔内通过介入性肺部进行的所有支气管镜检查。记录每一次镇静性缺氧的处理和疗效。结果:在研究期间,进行了893例支气管镜检查,其中38例(4%)发生镇静性缺氧。38例患者中有37例出现ADV。在每个病例中,ADV都是有效的,并允许完成程序。没有副作用。结论:ADV是一种简单、有效、无创的治疗镇静性缺氧的方法,可以保证足够的通气,并保证手术的安全进行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Abdominal Displacement Ventilation: An Effective Intervention for Sedation-Induced Hypoxia.

Background: Sedation for bronchoscopy at times causes hypoxia. The application of positive pressure ventilation for sedation-induced hypoxia often requires cessation of the bronchoscopy. In contrast, ventilation effected via cyclical abdominal compression, if effective, would allow bronchoscopy to proceed. Initial trials of abdominal displacement ventilation (ADV) proved successful. This report documents extended experience with ADV.

Objective: To evaluate and report the efficacy and applicability of ADV in the setting of sedation-induced hypoxia for consecutive patients over an extended interval.

Methods: Based upon its initial efficacy, ADV had been incorporated into the standard approach to sedation-induced hypoxia. We retrospectively reviewed all bronchoscopies performed by interventional pulmonary over a 12-month interval. Management and efficacy of every episode of sedation-induced hypoxia were documented.

Results: Over the study interval, 893 bronchoscopies had been performed, with sedation-induced hypoxia occurring in 38 (4%). ADV was possible in 37 of the 38 patients. In every case, ADV was effective and allowed completion of the procedure. There were no adverse effects.

Conclusion: ADV is a simple, effective, noninvasive approach to sedation-induced hypoxia that effects adequate ventilation and allows safe continuance of procedures.

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