室外患者使用RAM管用于儿童的鼻腔非侵入性通风
Brittany A Truitt1, Erin F Kallam1, Eric W Price1
1Department of Pediatrics, Division of Pediatric Pulmonology and Sleep Medicine, Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA.
Clinical medicine insights. Pediatrics
|August 21, 2023
概括
拉姆管为患有各种呼吸道疾病的儿童提供有效的门诊非侵入性通风 (NIV),为传统接口和气管切除提供了替代方案.
科学领域:
- 儿科肺病学 儿科肺病学
- 呼吸系统护理 呼吸系统护理
- 医疗器械 医疗器械
背景情况:
- 拉姆管用于氧气和正气道压力疗法.
- 研究证实了它在需要非侵入性通风 (NIV) 的住院患者中的有效性.
- 有限的文献存在于门诊NIV使用RAM管.
研究的目的:
- 通过RAM管描述使用门诊NIV的儿童的临床特征和结果.
- 评估RAM管在门诊环境中用于儿科NIV的实用性和安全性.
主要方法:
- 通过RAM管进行门诊NIV治疗的儿科患者的回顾性审查 (2010年1月至2023年3月).
- 数据分析包括患者的人口统计,诊断,NIV适用情况,使用时间,并发症和结果.
- 这项研究确定了20名患者.
主要成果:
- 拉姆头用于各种指示,包括阻塞性睡眠呼吸暂停和慢性呼吸衰竭.
- 使用的主要原因是对传统接口的不耐受性,呼吸障碍的缓解,以及避免气管切除术.
- 结果包括持续使用RAM管 (55%),过渡到其他接口 (15%),或氧气 (10%),没有报告的并发症.
结论:
- 通过RAM导管进行门诊NIV对于患有多种诊断的儿童来说是一个可行的选择.
- 它促进了临床改善,对传统接口的耐受性,并避免了气管切除术.
- 在门诊环境中,RAM管在治疗儿科呼吸系统疾病方面表现出实用性.
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