背景:声带息肉是常见的耳鼻咽喉科疾病,传统上,在全身麻醉的支撑喉镜下进行声带息肉切除术。虽然它是安全可控的,会引起一些麻醉并发症。此外,复杂的全身麻醉过程可能会显著降低手术效率。避免这些问题仍然是一个重要的问题。
方法:所有患者均接受了标准的非插管性深度麻痹(NIDP)方案,包括四个阶段。当NIDP无法成功实施时,启动了紧急计划。患者特征,在NIDP期间收集血气和监测数据.关于满意度的数据,收集并发症,麻醉持续时间和苏醒时间,以评估其有效性.
结果:在20名入选患者中,NIDP的成功率为95%。只有一名患者未能完成NIDP。血气分析显示,氧气和二氧化碳的分压保持在安全水平。NIDP期间的监测显示平均动脉压在110和70mmHg之间波动,心率稳定在每分钟60-100次。麻醉时间和术后恢复时间分别为13.0±2.84和5.47±1.97min,分别。所有患者和外科医生都对NIDP感到满意,出院前未发现并发症。
结论:NIDP可以安全地应用于患者,可以替代全身麻醉用于声带息肉切除术。它可以显着减少麻醉时间和术后恢复。未插管无麻醉并发症,患者和外科医生对NIDP感到满意。
背景:这种单中心,前瞻性研究于2020年7月30日在clinicaltrial.gov(NCT04247412)上注册。
BACKGROUND: Vocal cord polyp is common otorhinolaryngological disease, traditionally treated by vocal cord polypectomy under a supporting laryngoscope with general anaesthesia. Although it is safe and controllable, it would cause some anaesthesia complications. Moreover, the complex process of general anaesthesia may significantly reduce surgical efficiency. Avoiding these problems remains an important issue.
METHODS: All patients were subjected to the standard non-intubated deep paralysis (NIDP) protocol consisting of four phases. An emergency plan was launched when NIDP cannot be implemented successfully. Patient characteristics, blood gas and monitoring data were collected during NIDP. Data concerning satisfaction, complications and duration of anaesthesia and recovery were collected to assess its effectiveness.
RESULTS: Among 20 enrolled patients, the success rate of NIDP was 95%. Only one patient failed in completing NIDP. Blood gas analysis revealed that the partial pressure of oxygen and carbon dioxide was maintained at safe levels. Monitoring during NIDP revealed fluctuations in mean arterial pressure between 110 and 70 mmHg, and the heart rate was stable at 60-100 beats per minute. The duration of anaesthesia and postoperative recovery were 13.0 ± 2.84 and 5.47 ± 1.97 min, respectively. All patients and surgeons were satisfied with NIDP, and no complications were detected before discharge.
CONCLUSIONS: NIDP can be safely applied to patients and can replace general anaesthesia in vocal cord polypectomy. It can significantly reduce the duration of anaesthesia and postoperative recovery. No anaesthesia complications occurred without intubation, and patients and surgeons were satisfied with NIDP.
BACKGROUND: This single-centre, prospective study was registered on clinicaltrial.gov (NCT04247412) on 30th July 2020.