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胸部CT指引双腔支气管导管插管的临床应用效果 被引量:4
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作者 赵振儒 王本奇 +2 位作者 刘忠 胡杰 王馨 《东南大学学报(医学版)》 CAS 2018年第4期638-641,共4页
目的:探讨胸部CT显示支气管相对水平位置指引双腔支气管导管(DLT)插管的临床应用效果。方法:选择拟在全身麻醉单肺通气下行胸科手术的60例患者,随机分为胸部CT指引插管组(CT组,30例)和传统法插管组(CI组,30例)。CT组麻醉前阅读胸部CT了... 目的:探讨胸部CT显示支气管相对水平位置指引双腔支气管导管(DLT)插管的临床应用效果。方法:选择拟在全身麻醉单肺通气下行胸科手术的60例患者,随机分为胸部CT指引插管组(CT组,30例)和传统法插管组(CI组,30例)。CT组麻醉前阅读胸部CT了解支气管相对水平的位置关系,插管时支气管末端给予相对水平位置的一定角度进行插管;CI组插管时支气管末端给予水平位置的插管。两组插管后用纤维支气管镜(FOB)进行定位。记录插管时间、插管次数、插反情况、用FOB观察DLT插管的导管开口与支气管开口的对位满意情况以及术后声嘶、咽喉痛发生情况。结果:两组患者单肺通气时间与麻醉时间比较差异无统计学意义(P>0.05);CT组患者插管时间、插管尝试次数以及插反情况均低于CI组(P<0.05);FOB观察后CT组对导管开口与支气管开口对位满意情况明显好于CI组(96.67%vs 70.00%,P<0.05);CT组患者在术后24 h内声嘶、咽喉痛发生率明显低于CI组(10.00%、6.67%vs 33.33%、30.00%,均P<0.05)。患者平均CT气管横径为(17.26±2.11)mm,矢状径为(20.31±3.71)mm,左支气管直径为(13.08±1.88)mm。结论:CT指引下行双腔支气管插管准确高,对患者伤害少,安全可靠,同时可提高导管开口与支气管开口对位满意度,CT测量气管、支气管径线对DLT插管和定位有一定参考价值。 展开更多
关键词 胸部CT 双腔支气管导管插管 插管次数 插反情况
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Reduced turnover times make flexible optical reusable scope with EndoSheath~ Technology significantly cost-effective
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作者 Deepak Gupta Arvind Srirajakalidindi 《The Journal of Biomedical Research》 CAS 2012年第4期241-247,共7页
EndoSheath bronchoscopy(Vision Sciences,Inc.) uses a sterile,disposable microbial barrier that may meet the growing needs for safe,efficient,and cost effective flexible bronchoscopy.The purpose of this open-label co... EndoSheath bronchoscopy(Vision Sciences,Inc.) uses a sterile,disposable microbial barrier that may meet the growing needs for safe,efficient,and cost effective flexible bronchoscopy.The purpose of this open-label comparative study was to compare and calculate the costs-per-airway-procedure of the reusable fiberscope when used with and without EndoSheath Technology;and to record the turnover time from the completion of the use of each scope until its readiness again for the next use.Seventy-five new patients’ airways requiring airway maneuvers and manipulations with Vision Sciences,Inc.,reusable fiberscope with EndoSheath Technology were evaluated for the costs comparisons with reassessed historical costs data for Olympus scope assisted tracheal intubations.As compared to costs of an intubation($158.50) with Olympus scope at our institute,the intubation costs with Vision Sciences,Inc.,reusable fiberscope with EndoSheath technology was $81.50(P 〈 0.001).The mean turnover time was 5.44 min with EndoSheath technology as compared to previously reported 30 min with Olympus fiberscope(P 〈 0.001).Based on our institutional experience,Vision Sciences,Inc.,reusable fiberscope with EndoSheath technology is significantly cost effective as compared to the Olympus scope with significantly improved turnover times. 展开更多
关键词 Olympus scope EndoSheath Technology intubation cost-analysis turnover times
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