Laser plume containment during flexible transnasal laryngoscopy.
Laser plume containment during flexible transnasal laryngoscopy.
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DOI：
10.1002/lio2.526
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发表时间：
2021-04
影响因子：
1.9
通讯作者：
Nonnenmann M
中科院分区：
文献类型：
--
作者：
Hoffman HT;Walsh JE;Pratt A;Miller RM;Schwalje A;Stegall HR;Nonnenmann M
旨在评价柔性经鼻喉镜检查过程中设计用于容纳激光羽流的负压微环境。负压面罩（NPFS）先前报告在30例患者中首次使用时耐受性良好。诊断性经鼻喉镜检查对另外108例连续患者进行了问卷调查和连续脉搏血氧饱和度测定。进一步的研究讨论了手术经鼻磷酸钛氧钾（KTP）激光喉镜检查，并对4例使用NPFS的患者进行了活检。先前描述的NPFS版本3（v.3）是一种透明的丙烯酸屏障，带有两个前部器械端口，通过将侧吸引端口重新定位为更靠近鼻平面并加深外侧，使下突出物呈方形来进行修改。采用5分制Likert量表（范围从无症状（评级为1）到无法耐受（评级为5））进行的术后问卷调查发现，在接受评价的22例患者中，新设计（v.4）的患者耐受性极佳，与使用版本3的116例患者相比相似。在分析的138名患者中，只有一名患者将这种经历评为大于“轻度幽闭恐惧症”。100%的患者对疼痛和呼吸短促问题的回答是“无”或“轻度”。NPFS（v.4）成功地用于4例患者的激光喉镜检查，并对喉乳头状瘤（3/4）和出血性息肉（1/4）进行了活检。术后问卷调查发现，使用期间无呼吸短促（4/4）、无幽闭恐怖症（4/4）、无疼痛（4/4），脉搏血氧饱和度无显著变化。在使用NPFS指导的设计变更进行诊断性喉镜检查方面拥有丰富的经验，这些设计变更导致在负压微环境中成功用于经鼻柔性激光喉镜检查和活检。2b级（队列研究）。
To evaluate a negative pressure microenvironment designed to contain laser plume during flexible transnasal laryngoscopy. The Negative Pressure Face Shield (NPFS) was previously reported as well tolerated with initial use on 30 patients. Diagnostic transnasal laryngoscopy was performed on an additional 108 consecutive patients who were evaluated by questionnaires and sequential pulse oximetry. Further study addressed operative transnasal potassium‐titanyl‐phosphate (KTP) laser laryngoscopy with biopsy done on four patients employing the NPFS. The previously described NPFS version 3 (v.3), a transparent acrylic barrier with two anterior instrumentation ports, was modified by repositioning the side suction port closer to the level of the nose and deepening the lateral sides, squaring off the lower projection. A post‐procedure questionnaire employing a 5‐point Likert scale ranging from no symptoms (rating of 1) to intolerable (rating of 5) identified excellent patient tolerance of the new design (v.4), among 22 patients evaluated and similar in the comparison to the 116 patients using version 3. Among the 138 patients analyzed, only one patient rated the experience as greater than “mild claustrophobia.” 100% of patients answered either “none” or “mild” to the pain and shortness of breath questions. The NPFS (v.4) was then successfully used in four patients for laser laryngoscopy with biopsy of laryngeal papilloma (3/4) and hemorrhagic polyp (1/4). Post‐procedure questionnaire identified no shortness of breath (4/4), no claustrophobia (4/4), no pain (4/4) and no significant changes in pulse oximetry during use. Extensive experience in performing diagnostic laryngoscopy with the NPFS directed design changes leading to successful use for transnasal flexible laser laryngoscopy with biopsy in a negative pressure microenvironment. Level 2b (Cohort Study).
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影响因子：
1.9
作者：
Hoffman HT;Walsh JE;Pratt A;Miller RM;Schwalje A;Stegall HR;Nonnenmann M
通讯作者：
Nonnenmann M
影响因子：
2.6
作者：
Mallur, Pavan S.;Johns, Michael M.;Rosen, Clark A.
通讯作者：
Rosen, Clark A.
影响因子：
2.6
作者：
Born, Hayley;Ivey, Chandra
通讯作者：
Ivey, Chandra
DOI：
10.1016/0002-9378(87)90158-x
发表时间：
1987-05-01
影响因子：
9.8
作者：
BAGGISH, MS;ELBAKRY, M
通讯作者：
ELBAKRY, M
影响因子：
2.6
作者：
Neumann, Kay;Cavalar, Markus;Beyer, Daniel A.
通讯作者：
Beyer, Daniel A.