Suppr超能文献

经口激光显微手术联合声门上手动喷射通气时使用氧气/空气混合器:一种安全方法。

The Use of Oxygen/Air Blender during Transoral Laser Microsurgery with Supraglottic Manual Jet Ventilation: A Safe Approach.

作者信息

Abu-Ghanem Sara, Cochran James

机构信息

Department of Otolaryngology, State University of New York (SUNY) Downstate Medical Center, Brooklyn, New York, USA.

Division of Otolaryngology, Maimonides Medical Center, Brooklyn, New York, USA.

出版信息

Case Rep Anesthesiol. 2023 Sep 4;2023:5516988. doi: 10.1155/2023/5516988. eCollection 2023.

Abstract

BACKGROUND

Surgical fires are known, preventable, and devastating complications of transoral microlaryngeal laser surgery. Several guidelines have recommended maintaining the fraction of inspired oxygen concentration (FiO) at or below 30% for open delivery cases. We hereby present our experience utilizing an air/oxygen gas mixing device (blender) attached to a supraglottic manual jet ventilator during transoral laser microlaryngeal surgery in three cases to control oxygen levels.

METHODS

Retrospective chart review of three cases and literature review.

RESULTS

Three patients underwent microlaryngeal laser surgery and balloon dilation for the management of subglottic stenosis. All three patients were successfully ventilated throughout the procedures, and no major complications occurred intraoperatively. Two of three patients demonstrated symptomatic and clinical improvement at the first follow-up.

CONCLUSIONS

This report demonstrates the successful use of an oxygen/air blender to reduce FiO to fire-safe levels of less than 30% during laser surgery of the airway using jet ventilation.

摘要

背景

手术火灾是经口显微喉激光手术已知的、可预防的且具有毁灭性的并发症。多项指南建议,对于开放通气的病例,应将吸入氧浓度(FiO)维持在30%或以下。在此,我们介绍三例经口激光显微喉手术中使用连接在声门上手动喷射通气器上的空气/氧气混合装置(混合器)来控制氧水平的经验。

方法

对三例病例进行回顾性病历审查并进行文献综述。

结果

三名患者接受了显微喉激光手术和球囊扩张术以治疗声门下狭窄。所有三名患者在整个手术过程中均成功通气,术中未发生重大并发症。三名患者中有两名在首次随访时症状和临床状况有所改善。

结论

本报告表明,在气道激光手术中使用喷射通气时,氧气/空气混合器可成功将FiO降低至低于30%的安全防火水平。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验