《气道管理新进展》PPT课件
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Advances in Airway
MSaenaalginegmeOnut t Doubt
气道管理新进展
COVIDIEN, COVIDIEN with Logo and ™ marked brands are trademark of Covidien AG or an affiliate. © 2008 Covidien. All Rights Reserved. ™ * Proportional Assist and PAV are trademarks of the University of Manitoba, Canada. Used under license by Nellcor Puritan Bennett LLC.
2006年不同部位外科手术后术后肺部并发症发生率研究的概要
Surgical site AAA repair 腹主动脉瘤切除术 Esophagectomy 食道切除术 Abdominal surgery 腹部手术 Head and neck surgery 头颈部手术
Reported complication rate
1. Smetana et al. Ann Intern Med. 2006;144:581-95.
Postoperative Pulmonary Complications Deserve Equal
Attention with Perioperative Cardiac Complications 术后肺部并发症应与术中心脏并发症一样引起重视
What is their significance in terms of:
– Incidence? 发生率？ – Clinical outcomes? 临床结果？
Postoperative Pulmonary Complications 术后肺部并发症
• These complications range from minor, self-limited conditions to major disease states with significant morbidity and mortality. 这些并发症小至自限性疾病，大至具有较高发病率和死亡率的疾病。
Disclosure
Mark Procyshyn, RRT is the
Senior Regional Marketing Manager
for Covidien’s Respiratory Division
in Asia.
Outline:
What are postoperative pulmonary complications? 何为术后肺部并发症
1-year mortality
Serious cardiac* 严重的心血管疾病
Serious pulmonary† 严重的肺部疾病
2.0% 2.6%
22% 17%
36% 44%
p-value:
-
> 0.05
> 0.05
No statistical difference found for incidence or mortality at 30 days and 1 year. 30天或1年的发病率或死亡率无显著性差异。
Retrospective multicenter cohort study of 8,930 patients 60 years or older for hip surgery1
针对8930பைடு நூலகம்60岁以上髋部手术患者的多中心回顾性队列研究，
Complication
Incidence 30-day mortality
Surprisingly Common 术后肺部并发症十分常见
Summary of studies investigating incidence of postoperative pulmonary complications by surgical site, as per systematic literature review in 20061
25.5%
18.9% 14.2% 10.3%
Studies, n 16 11 43 6
Hip surgery 髋部手术
5.1%
5
Gynecologic/Urologic procedures
1.8%
2
妇科/泌尿科操作
Multiple studies show the high incidence of postoperative pulmonary complications. 多项研究先提示术后肺部并发症的发生率较高。
• The most commonly cited examples in the clinical literature are:1 在医学文献中最常见引用的并发症是：
– Pneumonia 肺炎 – Respiratory failure 呼吸衰竭 – Atelectasis 肺不张 – Acute exacerbation of chronic lung disease 慢性肺部疾病的急性加重
Outline:
What are postoperative pulmonary complications?何为术后肺部并发症
What is their significance in terms of:
– Incidence? 发生率？ – Clinical outcomes?
Postoperative Pulmonary Complications Are
* Definite or probable MI, emergency cardioversion, pacemaker insertion, ventricular fibrillation, ventricular tachycardia, hypotension requiring vasopressors, sick sinus syndrome or other conduction defect, or CPR. † Respiratory failure or pneumonia.
• Other prominent examples include ARDS, bronchospasm, tracheobronchitis and perioperative hypoxia.
其他突出的并发症包括：ARDS，支气管痉挛，支气管炎，术中低氧血症
1. Arozullah et al. Ann Surg. 2000;232(2):242-253.
MSaenaalginegmeOnut t Doubt
气道管理新进展
COVIDIEN, COVIDIEN with Logo and ™ marked brands are trademark of Covidien AG or an affiliate. © 2008 Covidien. All Rights Reserved. ™ * Proportional Assist and PAV are trademarks of the University of Manitoba, Canada. Used under license by Nellcor Puritan Bennett LLC.
2006年不同部位外科手术后术后肺部并发症发生率研究的概要
Surgical site AAA repair 腹主动脉瘤切除术 Esophagectomy 食道切除术 Abdominal surgery 腹部手术 Head and neck surgery 头颈部手术
Reported complication rate
1. Smetana et al. Ann Intern Med. 2006;144:581-95.
Postoperative Pulmonary Complications Deserve Equal
Attention with Perioperative Cardiac Complications 术后肺部并发症应与术中心脏并发症一样引起重视
What is their significance in terms of:
– Incidence? 发生率？ – Clinical outcomes? 临床结果？
Postoperative Pulmonary Complications 术后肺部并发症
• These complications range from minor, self-limited conditions to major disease states with significant morbidity and mortality. 这些并发症小至自限性疾病，大至具有较高发病率和死亡率的疾病。
Disclosure
Mark Procyshyn, RRT is the
Senior Regional Marketing Manager
for Covidien’s Respiratory Division
in Asia.
Outline:
What are postoperative pulmonary complications? 何为术后肺部并发症
1-year mortality
Serious cardiac* 严重的心血管疾病
Serious pulmonary† 严重的肺部疾病
2.0% 2.6%
22% 17%
36% 44%
p-value:
-
> 0.05
> 0.05
No statistical difference found for incidence or mortality at 30 days and 1 year. 30天或1年的发病率或死亡率无显著性差异。
Retrospective multicenter cohort study of 8,930 patients 60 years or older for hip surgery1
针对8930பைடு நூலகம்60岁以上髋部手术患者的多中心回顾性队列研究，
Complication
Incidence 30-day mortality
Surprisingly Common 术后肺部并发症十分常见
Summary of studies investigating incidence of postoperative pulmonary complications by surgical site, as per systematic literature review in 20061
25.5%
18.9% 14.2% 10.3%
Studies, n 16 11 43 6
Hip surgery 髋部手术
5.1%
5
Gynecologic/Urologic procedures
1.8%
2
妇科/泌尿科操作
Multiple studies show the high incidence of postoperative pulmonary complications. 多项研究先提示术后肺部并发症的发生率较高。
• The most commonly cited examples in the clinical literature are:1 在医学文献中最常见引用的并发症是：
– Pneumonia 肺炎 – Respiratory failure 呼吸衰竭 – Atelectasis 肺不张 – Acute exacerbation of chronic lung disease 慢性肺部疾病的急性加重
Outline:
What are postoperative pulmonary complications?何为术后肺部并发症
What is their significance in terms of:
– Incidence? 发生率？ – Clinical outcomes?
Postoperative Pulmonary Complications Are
* Definite or probable MI, emergency cardioversion, pacemaker insertion, ventricular fibrillation, ventricular tachycardia, hypotension requiring vasopressors, sick sinus syndrome or other conduction defect, or CPR. † Respiratory failure or pneumonia.
• Other prominent examples include ARDS, bronchospasm, tracheobronchitis and perioperative hypoxia.
其他突出的并发症包括：ARDS，支气管痉挛，支气管炎，术中低氧血症
1. Arozullah et al. Ann Surg. 2000;232(2):242-253.