气道管理新进展.pptx

SealingOutDoubtAdvancesinAirwayManagement气道管理新进展DisclosureMarkProcyshyn,RRTistheSeniorRegionalMarketingManagerforCovidien’?何为术后肺部并发症Whatistheirsignificanceintermsof:Incidence?发生率?es?临床结果?Outline:plicationsplicationsrangefromminor,self-,大至具有较高发病率和死亡率的疾病。monlycitedexamplesintheclinicalliteratureare:1在医学文献中最常见引用的并发症是:Pneumonia肺炎Respiratoryfailure呼吸衰竭Atelectasis肺不张Acuteexacerbationofchroniclungdisease慢性肺部疾病的急性加重OtherprominentexamplesincludeARDS,bronchospasm,:ARDS,支气管痉挛,支气管炎,;232(2):242-?何为术后肺部并发症Whatistheirsignificanceintermsof:Incidence?发生率?es?Outline:monplicationrateStudies,%%%%%5Gynecologic/Urologicprocedures妇科/%;144:581-,。plications术后肺部并发症应与术中心脏并发症一样引起重视Retrospectivemulticentercohortstudyof8,930patients60yearsorolderforhipsurgery1针对8930例60岁以上髋部手术患者的多中心回顾性队列研究,-daymortality1-yearmortalitySeriouscardiac*%22%36%Seriouspulmonary†%17%44%p-value:->>*DefiniteorprobableMI,emergencycardioversion,pacemakerinsertion,ventricularfibrillation,ventriculartachycardia,hypotensionrequiringvasopressors,sicksinussyndromeorotherconductiondefect,orCPR.†。InAggregate,urMoreOftenThanCardiac总体上,术后肺部并发症多于心脏并发症Casecontrolfrom2,291patientsundergoingelectiveabdominalsurgery,excludingatelectasis12291例进行择期腹部手术患者的病例对照研究,plicationEstimatedincidence(95%CI)LOS(±SD),p=%(-)(±17)%(-)(±)