A randomized comparison of the prone ventilation endotracheal tube versus the traditional endotracheal tube in adult patients undergoing prone position surgery.
A randomized comparison of the prone ventilation endotracheal tube versus the traditional endotracheal tube in adult patients undergoing prone position surgery.
复制标题
俯卧位通气气管插管与传统气管插管在成人俯卧位手术患者中的随机比较
DOI：
10.1038/s41598-017-02006-6
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发表时间：
2017-05-11
影响因子：
4.6
通讯作者：
Guo Q
中科院分区：
文献类型：
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作者：
Zou W;Shao J;Liang X;Li L;He Z;Guo Q
气管内管移位或脱位是需要俯卧位通气的患者可能发生的严重并发症。我们假设俯卧位管（PPT）与传统的气管插管（TT）相比，可以减少成人俯卧位手术中气管插管移位的发生率。共招募了80名接受神经外科或脊柱外科手术的成年患者。将60例俯卧位通气患者随机分为传统常规气管插管组（TT组，n = 30）和俯卧位通气气管插管组（PPT组，n = 30）。主要结局指标为术中气管内管移位的发生率，次要结局指标为麻醉后护理病房（PACU）随访期间喉咙痛、吞咽困难和发音障碍的症状。PPT组（30例中0例[0%]）的管移位发生率明显低于TT组（30例中22例[73.3%]）；优势比[OR] 0.73, 95% CI 0.591-0.910；P= 0.005)。随访期间，两组患者喉咙痛、吞咽困难、声带功能差异无统计学意义（P < 0.05）。与传统的俯卧位管相比，改进的俯卧位管减少了气管内管移位的发生率。本研究于2015年4月29日在ClinicalTrials.gov注册（No. 11）。NCT02449356)。
Endotracheal tube displacement or dislocation is a severe complication that can occur in patients who require prone position ventilation. We hypothesized the prone position tube (PPT) would reduce the incidence of displacement of an endotracheal tube in an adult prone operation compared to a traditional tube (TT). A total of 80 adult patients undergoing neurosurgery or spine surgery were recruited. Sixty patients with prone position ventilation were randomly divided into the traditional routine endotracheal tube group (Group TT, n = 30) and the prone position ventilation endotracheal tube group (Group PPT, n = 30). The primary outcome measures were the incidence of the endotracheal tube displacement during surgery, and the secondary outcomes were symptoms of sore throat, dysphagia and dysphonia during follow-up in the post-anesthesia care unit (PACU). The incidence of tube displacement was significantly lower in the PPT group (0 [0%] of 30 patients) compared to the TT group (22 [73.3%] of 30 patients; odds ratio [OR] 0.73, 95% CI 0.591–0.910;P= 0.005). There was no statistical difference in sore throat, dysphagia and vocal function between the two groups (P> 0.05) during follow-up. Compared to the traditional tube, the improved prone positon tube reduced the incidence of displacement of the endotracheal tube. This study was registered with ClinicalTrials.gov on April 29, 2015 (No. NCT02449356).
DOI：
10.4103/0970-9185.86621
发表时间：
2011-10
期刊：
Journal of anaesthesiology, clinical pharmacology
影响因子：
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作者：
Singh G;Manikandan S;Neema PK
通讯作者：
Neema PK