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相关概念视频

Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
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Deglutition01:25

Deglutition

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Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
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Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

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The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
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相关实验视频

Updated: Jul 12, 2025

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
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Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia

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在儿童上皮格洛托佩克西后吞功能.

Ashley E Young1, Laura Hinkes-Molinaro2, Jonathan Ida3,4

  • 1Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 19, 2023
PubMed
概括

皮格洛托佩克西 (epiglottopexy) 是一种针对患有皮格洛托脱落的儿童的手术. 虽然通常是安全的,但在手术后,一些患者可能会出现新的或恶化的消化障碍,特别是那些患有并发症的患者.

关键词:
脊柱垂体落 (epiglottic prolapse) 是一种表皮垂体落的现象.史密斯的第一个名字是epiglottopexy.这种病名为 laryngomalacia.儿科的消化不良症.吞吞吞吞吞吞吞吞

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Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
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Robotic Myotomy and Partial Fundoplication for Achalasia
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Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
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科学领域:

  • 儿科耳鼻喉科 儿科耳鼻喉科
  • 吞障碍 吞障碍 吞障碍
  • 航空航道管理的管理.

背景情况:

  • Epiglottopexy越来越多地用于儿科的表皮质和气道阻塞.
  • 表皮膜在吞时的呼吸道保护中起着至关重要的作用.
  • 重定位上衣可能会在脱过程中影响球体过渡.

研究的目的:

  • 为了比较儿童的吞结果,在epiglottopexy之前和之后.
  • 为了评估epiglottopexy关于吞功能的安全性和有效性.

主要方法:

  • 在第三级护理儿童医院进行的回顾性队列研究.
  • 数据收集自接受表皮透术的儿童患者病历,随后进行仪器吞评估 (2018年1月 - 2022年9月) 的数据.
  • 包括38名儿童患者,平均年龄为41个月,许多患者患有并发症.

主要成果:

  • 在epiglottopexy后,没有观察到吞开始或模式的显著变化.
  • 7名 (18.4%) 患者经历了发作障碍的恶化 (新发作或恶化).
  • 在大多数患者中,液体和食物的运输保持稳定或改善;没有发现导致缺食症恶化的危险因素.

结论:

  • 在患有并发症的儿童中,特别是与其他呼吸道手术相结合时,表皮皮术可能与新的或恶化的呼吸障碍有关.
  • 该程序通常是安全的,对整体吞机制没有显著的有害影响.