Comparison of the Application Effects between general Anesthesia without Intubation and Sedation under Anesthesia Monitoring in the Airway Intervention Treatment of Patients with Tracheoesophageal Fistula
Objective To compare and analyze the effects between general anesthesia without intubation and sedation under anesthesia monitoring on airway intervention treatment in patients with tracheoesophageal fistula.Methods Sixty patients with tracheoesophageal fistula who received airway intervention treatment were selected,all admitted to Henan Chest Hospital from January 2019 to January 2023.They were divided into general anesthesia group(35 cases)and sedation group(25 cases)according to different anesthesia methods.The general anesthesia group chose general anesthesia without intubation,while the sedation group chose sedation under anesthesia monitoring.The dyspnea index score,Karst score,and complications of the two groups were observed and compared.Results Compared with preoperative,the postoperative dyspnea index scores of both groups were significantly reduced,and the postoperative dyspnea index scores of the sedation group were significantly lower than those of the general anesthesia group,with statistical significance(P＜0.05).Compared with the admission,the Karst scores of both groups were significantly improved at discharge,and the Karst scores of the sedative group were significantly higher than those of the general anesthesia group at discharge,with a statistically significant difference(P＜0.05).There was no statistically significant difference in the incidence of tracheal intubation back to the intensive care unit(ICU),hypotension,and hypoxemia between the two groups(P＞0.05).Conclusion When patients with tracheoesophageal fistula receive airway intervention treatment,whether they choose general anesthesia without intubation or sedation under anesthesia monitoring,it can ensure the orderly progress of airway intervention treatment and ensure its smooth completion;However,compared with general anesthesia without intubation,sedation under anesthesia monitoring can significantly improve the patient's shortness of breath index,physical condition,and functional status;In actual clinical treatment,close monitoring of changes in vital signs should be carried out,and specific surgical methods should be fully considered when diagnosing anesthesia plans.
general anesthesia without intubationsedation under anesthesia monitoringtracheoesophageal fistulaairway interventionanesthetic effect
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