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舒芬太尼联合纳美芬辅助表面麻醉对纤维支气管镜引导经鼻气管插管的影响。

Effect of Sufentanil Combined with Nalmefene Assisted Surface Anesthesia on Transnasal Endotracheal Intubation Guided by Fiberoptic Bronchoscope.

机构信息

Department of Anesthesiology, The Third Affiliated Hospital of Qiqihar Medical College, Qiqihar, Heilongjiang 161000, China.

出版信息

Contrast Media Mol Imaging. 2022 Sep 9;2022:5144875. doi: 10.1155/2022/5144875. eCollection 2022.

DOI:10.1155/2022/5144875
PMID:36134115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9481346/
Abstract

In order to study the clinical effect of sufentanil combined with nalmefene in fiberoptic bronchoscopy tracheal intubation in airway patients, a method based on sufentanil combined with nalmefene-assisted topical anesthesia for fiberoptic bronchoscopy-guided nasotracheal intubation method is proposed. This method retrospectively analyzed 100 patients with difficult airways who underwent fiberoptic bronchoscope tracheal intubation in the Central Hospital from January 2021 to November 2021. The analysis results showed that compared with the control group, the patients in the study group had a significantly lower cough score, a higher Ramsay sedation score, a lower mean arterial pressure, and a lower number of patients with hypoxia ( < 0.05). There was no significant difference in postoperative hoarseness and sore throat between the two groups. Sufentanil combined with nalmefene has a better anesthesia effect and higher safety for bronchofiberscope intubation in patients with difficult airways.

摘要

为了研究舒芬太尼联合纳美芬在气道患者纤维支气管镜气管插管中的临床效果,提出了一种基于舒芬太尼联合纳美芬辅助局部麻醉的纤维支气管镜引导经鼻气管插管方法。该方法回顾性分析了 2021 年 1 月至 2021 年 11 月在中心医院行纤维支气管镜气管插管的 100 例困难气道患者。分析结果表明,与对照组相比,研究组患者的咳嗽评分明显降低, Ramsay 镇静评分较高,平均动脉压较低,且缺氧患者较少(<0.05)。两组患者术后声音嘶哑和咽痛无明显差异。舒芬太尼联合纳美芬对困难气道患者纤维支气管镜插管具有较好的麻醉效果和更高的安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a31/9481346/dabad55e4f7f/CMMI2022-5144875.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a31/9481346/c7b6cdb780a3/CMMI2022-5144875.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a31/9481346/25ecd4d7f39f/CMMI2022-5144875.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a31/9481346/dabad55e4f7f/CMMI2022-5144875.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a31/9481346/c7b6cdb780a3/CMMI2022-5144875.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a31/9481346/25ecd4d7f39f/CMMI2022-5144875.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a31/9481346/dabad55e4f7f/CMMI2022-5144875.003.jpg

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Retracted: Effect of Sufentanil Combined with Nalmefene Assisted Surface Anesthesia on Transnasal Endotracheal Intubation Guided by Fiberoptic Bronchoscope.撤稿:舒芬太尼联合纳美芬辅助表面麻醉对纤维支气管镜引导下经鼻气管插管的影响。
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Pain and dyspnea control during awake fiberoptic bronchoscopy in critically ill patients: safety and efficacy of remifentanil target-controlled infusion.危重症患者清醒纤维支气管镜检查期间的疼痛与呼吸困难控制:瑞芬太尼靶控输注的安全性与有效性
Ann Intensive Care. 2021 Mar 16;11(1):48. doi: 10.1186/s13613-021-00832-6.
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Comparing the rate of fiberoptic bronchoscopy use with a video double lumen tube versus a conventional double lumen tube-a randomized controlled trial.
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