在经历长期手术的患者中不适当的内管袖口压力的频率及其变化:一项前性观察研究
Muhammad Fahad Rehman Shamsi1, Ali Sarfraz Siddiqui1
1Department of Anaesthesiology, Aga Khan University Karachi, Pakistan.
大多数患者 (60.3%) 在输管时有不适当的内管 (ETT) 袖口压力. 在手术结束时,70.7%的患者经历了异常高的ETT袖口压力,增加了风险.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 外科手术患者管理
背景情况:
- 保持足够的内管 (ETT) 袖口压力对于通气管的通透性至关重要,防止吸入,并最大限度地减少气管外伤.
- 不适当的袖口压力可能导致机械通风期间和之后的并发症.
- 本研究探讨了输管过程中ETT袖口压力不正确的发生率及其在长期手术期间的变化.
研究的目的:
- 为了确定内管管道 (ETT) 袖口压力不适当的频率,直接在输管后.
- 为了评估长期外科手术程序结束时ETT袖口压力的变化.
- 突出监测和调整ETT袖口压力的临床意义.
主要方法:
- 在麻醉科六个月内进行的前性研究.
- 包括经过长时间全身麻醉和输管治疗的成年患者,使用ETT.
- 在输管后和手术结束时测量ETT袖口压力.
主要成果:
- 在58名患者中,60.3%的患者在输管时有不适当的ETT袖口压力.
- 经过纠正后,70.7%的患者在手术结束时表现出ETT袖口压力增加.
- 很大一部分 (33%) 显示压力增加在81-100厘米H2O之间.
结论:
- 在输管时存在不适当的ETT袖口压力的高发病率 (60.3%).
- 在长期手术 (70.7%) 结束时,ETT袖口压力高 (>30厘米H2O) 是常见的.
- 持续监测和调整ETT袖口压力对于防止并发症至关重要.
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