[气管切开术：适应证与实施]
[Tracheotomy : Indication and implementation].
作者信息
Oppert Michael, Jungehülsing Markus, Nibbe Lutz
机构信息
Zentrum für Intensiv- und Notfallmedizin, Klinikum Ernst von Bergmann gGmbH, Charlottenstraße 71, 14467, Potsdam, Deutschland.
Health and Medical University, Potsdam, Deutschland.
出版信息
Med Klin Intensivmed Notfmed. 2024 Nov;119(8):694-702. doi: 10.1007/s00063-024-01184-2. Epub 2024 Oct 11.
Abstract
Tracheotomy has long been performed outside of intensive care medicine. In modern medicine, it has a firm place in the management of critically ill and emergency care patients as well as in cancer surgery of the head and neck, the care of long-term ventilated patients, patients with swallowing disorders, and neurological diseases. The indication, technique, and timing of tracheotomy are very different for the various diseases. This article provides an overview of the different indications, surgical techniques, and timing of tracheotomy in modern intensive care medicine.
摘要
长期以来，气管切开术一直在重症监护医学之外进行。在现代医学中，它在危重症和急诊患者的管理中，以及在头颈癌手术、长期通气患者、吞咽障碍患者和神经系统疾病的治疗中都占有一席之地。气管切开术的适应症、技术和时机因疾病的不同而有很大差异。本文概述了现代重症监护医学中气管切开术的不同适应症、手术技术和时机。
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本文引用的文献
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Tracheostomy timing and outcome in critically ill patients with stroke: a meta-analysis and meta-regression.气管切开术时机与重症脑卒中患者预后的关系：一项荟萃分析与荟萃回归研究
Crit Care. 2023 Apr 1;27(1):132. doi: 10.1186/s13054-023-04417-6.
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Percutaneous tracheostomy in the ICU: a review of the literature and recent updates.重症监护病房中的经皮气管切开术：文献综述与近期进展
Curr Opin Pulm Med. 2023 Jan 1;29(1):47-53. doi: 10.1097/MCP.0000000000000928. Epub 2022 Nov 15.
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Bayesian analysis of a systematic review of early versus late tracheostomy in ICU patients.贝叶斯分析对 ICU 患者早期与晚期气管切开术的系统评价。
Br J Anaesth. 2022 Nov;129(5):693-702. doi: 10.1016/j.bja.2022.08.012. Epub 2022 Sep 24.
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Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial.早期与标准气管切开术对机械通气严重脑卒中患者 6 个月时功能结局的影响：SETPOINT2 随机临床试验。
JAMA. 2022 May 17;327(19):1899-1909. doi: 10.1001/jama.2022.4798.
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Early tracheostomy: on the cutting edge, some benefit more than others.早期气管切开术：处于前沿，一些患者受益更多。
Curr Opin Anaesthesiol. 2022 Apr 1;35(2):236-241. doi: 10.1097/ACO.0000000000001114.
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BMC Anesthesiol. 2021 Feb 15;21(1):51. doi: 10.1186/s12871-021-01264-2.
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