T-Piece复苏器与产前新生儿分娩室复苏的自膨胀袋:一个随机对照试验
Bhrajishna Pallapothu1, Mayank Priyadarshi1, Poonam Singh1
1Department of Neonatology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249203, India.
European journal of pediatrics
|October 4, 2023
概括
T片复苏器 (TPR) 和自充袋 (SIB) 在早产婴儿复苏中表现出类似的有效性,氧和和心率趋势相似. 一个小时后TPR的脑氧和率较低.
科学领域:
- 新生儿复苏术 新生儿复苏
- 儿科重症监护 儿科重症监护
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 适当的通风对于新生儿在分娩室 (DR) 的复苏至关重要.
- 根据实验室研究,T-piece复苏器 (TPR) 可能比自充气袋 (SIB) 提供更一致的压力/体积.
- 在早产新生儿中比较TPR和SIB的证据有限.
研究的目的:
- 为了比较T片复苏器 (TPR) 与自我充气袋 (SIB) 在早产新生儿的正压通风 (PPV) 的疗效.
- 评估对外周氧和 (SpO2),心率 (HR) 和大脑氧和 (crSO2) 的影响.
主要方法:
- 一个平行组,接入盲目的随机对照试验,涉及72名早产新生儿.
- 婴儿通过TPR (n=36) 或SIB (n=36) 接受PPV.
- 主要结局: SpO2 在5分钟. 二次结果:HR,crSO2,氧气需求,输入管,以及呼吸支的持续时间.
主要成果:
- 在TPR和SIB组之间在5分钟后的SpO2没有显著差异 (p=0.289).
- 在最初的5分钟内,分分钟特定的SpO2,HR和分数启发氧气 (FiO2) 的趋势相似.
- 1小时后大脑区域氧和 (crSO2) 在TPR组显著较低 (p=0.03).
结论:
- 在新生儿复苏期间,TPR和SIB都提供了可比的SpO2,HR和FiO2趋势.
- 在TPR组中,在1小时内降低crSO2,需要进一步调查.
- 在这两种设备之间,短期并发症和死亡率相似.
相关概念视频
Cardiopulmonary Resuscitation II: ACLS Airway Management
17
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
17
Oxygen Delivering System III: Tracheostomy and T-piece
1.1K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
1.1K
Oxygen Delivering System I: Nasal Cannula and Face Mask
380
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
380
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
660
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,...
660
Mechanical Ventilation III: Noninvasive Ventilation
149
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
149
Cardiopulmonary Resuscitation I: Adult
19
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
19


