与诱导咳期间的最大呼气压力相比,最大呼气压力作为输出失败的预测指标
Melina Carrera1, Jose García Urrutia1, Cesar Bueno Ardariz1
1Hospital Nacional Profesor Alejandro Posadas - Buenos Aires, Argentina.
Critical care science
|September 15, 2023
概括
在诱导咳期间的最大呼气压力更好地预测自发呼吸试验后患者的输出失败. 这种方法为识别有风险的个体提供了更好的诊断性能.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 输出失败是重症监护病房的一个重要问题.
- 预测输出失败有助于患者管理和资源分配.
研究的目的:
- 为了比较最大呼气压 (MEP) 和诱导咳期间的MEP的诊断准确度,以预测72小时内输出失败.
- 在成功完成自发呼吸试验 (SBT) 的患者中评估这些措施.
主要方法:
- 八十名成年重症监护病房患者需要超过48小时的机械呼吸和完成SBT.
- 使用单向来测量最大的呼气压力.
- 诱导咳期间的最大呼气压通过盐水灌注来评估.
主要成果:
- 27%的患者在72小时内经历了输出失败.
- 在诱导咳期间的最大呼气压在未能输出输出管的患者中显著降低 (中位数为0cmH2O),与没有输出管的患者相比 (中位数为120cmH2O;p < 0.001).
结论:
- 诱导咳期间的最大呼气压在SBT后预测输出失败的诊断性能方面表现出卓越的诊断性能.
- 这种技术可以成为临床医生管理通风患者的宝贵工具.
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