通过接口比较分娩室的输管率
Naa-Lamle Lamptey1, Gretchen L Kopec2, Harveen Kaur3
1Department of Pediatrics, OSF Saint Francis Medical Center, University of Illinois College of Medicine at Peoria, Children's Hospital of Illinois, Peoria, Illinois.
American journal of perinatology
|May 31, 2023
概括
双鼻显著减少了在分娩室复苏期间在早产新生儿中输内管的需要. 这种方法在新生儿复苏中比面膜更有效,降低了出生和6小时生命中的输管率.
科学领域:
- 新生儿复苏新生儿的复苏
- 儿科重症监护 儿科重症监护
背景情况:
- 正压通风 (PPV) 对于新生儿的复苏至关重要.
- 新生儿PPV的最佳接口仍未确定,双鼻和面罩都是可接受的选择.
- 之前的研究表明,双鼻可能比面膜更有效地预防分娩室输管.
研究的目的:
- 为了比较30周怀孕前出生的新生儿在分娩室的复苏中,双鼻和面罩之间的输管率.
主要方法:
- 一项回顾性研究分析了2016年8月至2021年4月期间出生在<30周妊娠期的新生儿.
- 在三个接口组中对分娩室输管率进行了比较:双鼻,面罩和联合面罩/双鼻.
- 使用后勤回归分析来比较输管率,控制相关变量.
主要成果:
- 用面罩复苏的新生儿在分娩室被输入输入管的可能性是9.9倍,相比于双鼻的新生儿.
- 面罩使用也与生命6小时内输管的可能性增加了10.8倍.
- 这项研究包括新生儿,他们的平均怀孕年龄为双鼻的27.6周,面膜的25.7周,组合使用的27.1周.
结论:
- 双鼻是新生儿复苏的宝贵工具,有效地减少了在分娩室和生命6小时内输管的需要.
- 研究结果支持在需要PPV的早产婴儿的面罩上使用binasal prongs.
- 建议进行进一步的前性研究来验证这些发现.
相关概念视频
Endotracheal Intubation I: Procedure
1.9K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.9K
Endotracheal Intubation II: Nursing Management
846
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
846
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
27
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
27
Endotracheal Tube Extubation
934
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
934
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
739
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
739
Tracheostomy: Procedure and Tubes
788
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
788


