超声引导下招募操作对全麻患者术后肺部并发症风险的影响

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Jolanta Cylwik, N. Buda
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引用次数: 2

摘要

术后肺部并发症是围手术期护理中最常见的问题之一。其发展的风险不仅取决于与患者初始临床状况相关的参数,还取决于所采用的麻醉技术、机械通气方法以及手术程序的类型和技术。肺不张是最常见的并发症,影响近90%的全麻患者。目的本研究的目的是确定是否可能通过基于患者的术中超声引导引流术对术后时间产生积极影响,并减少术后肺部并发症的发生频率。方法对两组患者的术后病程进行分析。其中一组包括100名患者,他们在全身麻醉期间没有进行招募操作。另一组(100例)采用基于患者的超声引导下的肺部复吸操作。结果招募组患者术后住院时间明显缩短(p = 0.003),重症监护风险明显降低。此外,术后延长机械通气的需要减少了,呼吸道感染的风险也降低了。结论术中超声引导引流术可减少术后肺部并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of ultrasound-guided recruitment maneuvers on the risk of postoperative pulmonary complications in patients undergoing general anesthesia
Abstract Introduction Postoperative pulmonary complications are among the most frequent problems in perioperative care. The risk of their development depends not only on the parameters associated with the patient’s initial clinical condition, but also on the employed anesthesia technique, the method of mechanical ventilation, and the type and technique of the surgical procedure. Atelectasis is the most common complication, affecting nearly 90% of the patients undergoing general anesthesia. Aim The aim of this study was to determine whether it was possible to positively impact the postoperative period and reduce the frequency of postoperative pulmonary complications via patient-based intraoperative ultrasound-guided recruitment maneuvers. Methodology The course of the postoperative period was analyzed in two groups of patients. One of them comprised 100 patients in whom no recruitment maneuvers were performed during general anesthesia. The other group (100 patients) consisted of patients in whom patient-based ultrasound-guided pulmonary recruitment maneuvers were performed. Results In the recruitment group, the postoperative hospitalization was statistically significantly shorter (p = 0.003) and the risk of intensive care treatment significantly lower. Additionally, the need for prolonged postoperative mechanical ventilation was reduced, as was the risk of respiratory tract infections. Conclusions Intraoperative ultrasound-guided recruitment maneuvers reduce the frequency of postoperative pulmonary complications.
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来源期刊
Journal of Ultrasonography
Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.30
自引率
0.00%
发文量
58
审稿时长
20 weeks
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