支气管镜球囊扩张治疗左心室辅助装置植入患者声门下狭窄时氧储备指数的应用:一例报告。

IF 4.2 4区 医学 Q1 ANESTHESIOLOGY Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2023-10-06 DOI:10.4097/kja.23568
Jimin Lee, Minwoo Chung, Eui-Suk Sung, Jung-Pil Yoon, Yeong Min Yoo, Jaesang Bae, Hee Young Kim
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引用次数: 0

摘要

背景:在全身麻醉过程中,监测氧合状态对确保患者安全至关重要。尽管无创脉搏血氧计通常用于监测经皮血氧饱和度(SpO2),但当氧分压过高或过低时,它可能无法准确反映氧分压的变化。氧气储备指数(ORi)提供关于氧气储备状态的实时信息。病例:我们报告了一例在ORi监测下植入左心室辅助装置(LVAD)的婴儿使用球囊支气管镜成功治疗声门下狭窄的病例,以预测手术过程中的低氧血症。结论:在危重婴儿呼吸暂停的麻醉过程中使用ORi监测有助于在SpO2下降之前预测即将发生的去饱和,使麻醉师能够有效地预测和管理呼吸暂停期。在手术过程中,持续的ORi监测提供了有价值的见解,尤其是在呼吸和心血管功能受损的婴儿中。
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Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report.

Background: Monitoring the oxygenation status is crucial during general anesthesia to ensure patient safety. Although noninvasive pulse oximetry is commonly used to monitor percutaneous oxygen saturation (SpO2), it may not accurately reflect changes in oxygen partial pressure when the latter is excessively high or low. The oxygen reserve index (ORi) provides real-time information about the oxygen reserve status.

Case: We present a case of successful management of subglottic stenosis using balloon bronchoscopy in an infant with a left ventricular assist device implantation under ORi monitoring to predict hypoxemia during the surgical procedure.

Conclusions: Utilizing ORi monitoring during anesthesia for procedures involving apnea in critically ill infants can help predict impending desaturation before a drop in SpO2 occurs, allowing anesthesiologists to effectively anticipate and manage the apnea period. Continuous ORi monitoring offers valuable insights during surgical procedures, especially in infants with compromised respiratory and cardiovascular functions.

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来源期刊
CiteScore
6.20
自引率
6.90%
发文量
84
审稿时长
16 weeks
期刊最新文献
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