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Medicine
大鼠气管切开术气管插管和随后的开胸术用于非存活应用
大鼠气管切开术气管插管和随后的开胸术用于非存活应用
JoVE Journal
Medicine
This content is Free Access.
JoVE Journal Medicine
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

大鼠气管切开术气管插管和随后的开胸术用于非存活应用

Full Text
1,620 Views
04:43 min
March 15, 2024

DOI: 10.3791/66684-v

Alexander Studier-Fischer1,2,3,4, Berkin Özdemir1,3,4, Karl-Friedrich Kowalewski2,3,4, Caelan Max Haney2,3,4,5, Maurice Stephan Michel2,3,4, Gabriel Alexander Salg1, Franck Billmann1

1Department of General, Visceral, and Transplantation Surgery,Heidelberg University Hospital, 2Department of Urology and Urosurgery,University Medical Center Mannheim, Medical Faculty of the University of Heidelberg, 3Intelligent Systems and Robotics in Urology (ISRU),German Cancer Research Center (DKFZ) Heidelberg, 4DKFZ Hector Cancer Institute,University Medical Center Mannheim, 5Department of Urology,University Hospital Leipzig

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Please note that some of the translations on this page are AI generated. Click here for the English version.

Overview

This study presents a standardized procedure for endotracheal intubation via tracheotomy followed by thoracotomy in rats. The method aims to enhance the precision and reproducibility of non-survival applications requiring invasive ventilation and exposure of thoracic organs in in vivo rat models.

Key Study Components

Area of Science

  • Neuroscience
  • Invasive Ventilation Techniques
  • Animal Model Research

Background

  • Hyperspectral imaging is being explored for the spectral characterization of physiological and diseased organs.
  • Current challenges include the need for exposed organ surfaces and movement artifacts during mechanical ventilation.
  • This study addresses these challenges with a new technique.
  • The research aims to transfer insights from animal models to human applications.

Purpose of Study

  • To develop a reliable method for endotracheal intubation and thoracotomy in rats.
  • To improve the evaluation of thoracic organs using hyperspectral imaging.
  • To establish a new diagnostic approach in medicine.

Methods Used

  • Preparation of surgical instruments and anesthesia for rats.
  • Application of a neonatal mask for oxygen saturation.
  • Execution of a median thoraco cervical skin incision and blunt dissection.
  • Insertion of a tracheal catheter and initiation of manual lung protective ventilation.

Main Results

  • All rats maintained oxygen saturation above 92% during the procedure.
  • Successful endotracheal intubation and thoracotomy were achieved.
  • The method demonstrated reproducibility and precision for experimental measurements.
  • All subjects survived the 20-minute experimental duration.

Conclusions

  • The standardized procedure enhances the reliability of invasive ventilation in rat models.
  • This technique may facilitate better translational research from animal models to human applications.
  • Future studies can build on this method for further advancements in diagnostic imaging.

Frequently Asked Questions

What is the significance of this study?
This study provides a reliable method for invasive procedures in rat models, enhancing research accuracy.
How does hyperspectral imaging contribute to this research?
Hyperspectral imaging allows for detailed spectral characterization of organs, aiding in diagnostics.
What are the main challenges addressed in this study?
The study addresses the need for exposed organ surfaces and movement artifacts during ventilation.
What were the survival rates of the rats during the procedure?
All rats survived the 20-minute experimental measurements with maintained oxygen saturation.
What future applications does this research suggest?
The method may lead to improved diagnostic techniques applicable to human medicine.
How can this technique be applied in clinical settings?
It can be used to enhance the understanding of thoracic organ function and disease in patients.

在这里,我们介绍了一种通过气管切开术进行气管插管,然后对大鼠进行开胸术的标准化程序,旨在提高 体内大鼠模型中 需要有创通气和胸部器官暴露的非存活应用的精度和可重复性。

我们的研究范围是患者生理和患病器官和组织的光谱表征,以及动物模型。使用高光谱成像,我们希望能够可靠地评估组织,将这项技术确立为医学的新诊断支柱,并缩小现有的诊断差距。当前胸部器官光谱表征的实验挑战是暴露器官表面的必要性和由于机械通气而导致的涂层过程中的运动伪影,这两者都可以通过这种新技术成功解决。

我们将进一步关注器官的光谱表征和不同物种之间的光谱数据传输。这将使我们能够从动物模型中提取获得的见解,并将其应用于人类以造福患者。首先,将插管折叠成 135 度角,距尖端 1 厘米。

使用鲁尔锁,将插管连接到塑料灌注管。然后,在手术暴露装置的钢板上放置加热垫以进行热支持。准备带有连接塑料管和手术蚊夹的手术准备钩,以便稍后对组织施加张力以进行手术暴露。

接下来,缩短和斜切不同尺寸的静脉导管。在插管过程中,将动脉导管的导丝插入最适合 Seldinger 技术的动物大小的导管中。麻醉大鼠后,进行脚趾捏以检查麻醉深度。

然后,将眼药膏涂抹在动物的眼睛上。开胸前通过皮下注射卡洛芬给予额外的镇痛。使用经鼻新生儿面罩为动物提供 100% 的氧气吸入,以使动物的血液循环充满氧气。

五分钟后,将新生儿面罩更换为带有公塑料注射器鲁尔锁尖端的新生儿通气袋。提供氧气,并将注射器尖端靠近动物的鼻尖。然后,做一个所需长度的正中胸宫颈皮肤切口,并使用手术准备钩露出手术部位。

接下来,使用细剪刀,通过颈筋膜进行钝性解剖。暴露胸锁乳突肌和舌骨下肌。解剖左侧外侧膜后,将正中舌骨下肌向右偏侧化。

使用覆盖夹对气管进行钝性解剖,并在气管中穿隧道。然后,使用硅胶血管环吊索气管,并使用聚丝缝合线用双吊索固定远端气管,以便稍后进行气管插管固定。使用无创钳,向尾部伸展气管。

然后用剪刀将气管部分切开,圆周 180 度。现在,将带有柔性端的 Seldinger 导丝插入气管,并将适当尺寸的改良静脉导管引导至气管中。然后,取下 Seldinger 线并将气管导管的鲁尔锁尖端连接到改进的通气袋。

之后,开始高频、低潮气量的手动肺保护性通气。用滑动结固定先前放置的锁定缝合线,以防止漏气和意外拔除导管。接下来,使用钝而稳定的材料剪刀,从剑突开始正中开胸手术,并继续沿颅骨穿过胸骨。

将剪刀向前推进时,以及在切割时短暂暂停通气,以避免肺外伤。从皮肤上取下手术准备钩,并将其插入胸部以获得进一步的暴露。利用手术准备钩获得胸部暴露并去除纵隔浆膜。

氧饱和度从未低于 92%,所有大鼠都存活了实验测量所需的 20 分钟。

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关键词:气管插管 气管切开术 开胸术 大鼠 非存活 转化研究 通气 手术技术

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