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增加儿科气管切除管变换之间的间隔:这是一个安全的技术吗?
Pheemaphol Samornpitakul1, Warisra Watcharaporn1, Dhave Setabutr1,2
1Chulabhorn International College of Medicine, Thammasat University, Khlong Nueng, Pathum Thani 12120 Thailand.
概括
每三个月换一次儿科气管切除管是安全的,并发症率很低,为6.48%. 这90天的间隔是切实可行的,特别是在资源有限的儿童气管切除术护理环境中.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 呼吸系统医学 呼吸系统医学
- 医疗器械安全 医疗器械安全
背景情况:
- 气管切除管需要定期更换,以防止并发症.
- 在儿科患者中,最佳的气管切除管更换间隔尚未得到充分确立.
- 资源限制可能会影响气管切除术护理实践.
研究的目的:
- 评估儿童3个月气管切除管更换间隔的安全性.
- 为了确定与此间隔的管相关并发症的发生率.
- 在资源有限的环境中评估此间隔的可行性.
主要方法:
- 在第三级医疗中心的回顾性观察图表审查 (2018-2021年).
- 分析了108个儿科气管切除管的变化.
- 评估与变化之间的间隔有关的并发症.
主要成果:
- 气管切开管变化之间的平均间隔为87天.
- 观察到6.48%的管相关并发症率.
- 并发症包括呼吸道感染,意外脱和颗粒组织形成.
结论:
- 儿童气管切除管变化的90天间隔不会增加并发症率.
- 这个间隔对于资源有限的医疗保健机构来说是一个实际考虑.
- 进一步的研究可能会在儿科患者中验证延长的气管切换间隔.
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