肝移植后快速成功的气管输出预测得分:一个案例对照研究
Fardad Ejtehadi1, Mohammad Firoozifar, Javad Shakeri
1From the Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
概括
肝移植后的早期气管输出是可行的. 关键预测因素包括手术后的基过量,红细胞输血和尿液量,为新的预测公式提供信息.
科学领域:
- 麻醉学 麻醉学
- 移植手术 移植手术
- 关键护理医学 关键护理医学
背景情况:
- 长时间的气管输管和机械通风在肝移植后与增加的并发症有关.
- 建立早期输出管的标准至关重要,但目前缺乏.
- 及时的输出管可能会改善肝移植后患者的治疗结果.
研究的目的:
- 为了确定影响肝移植后早期气管外抽的因素.
- 开发一种预测性评分系统,用于肝移植接受者的早期输出.
主要方法:
- 一项涉及成年肝移植患者的病例控制研究.
- 收集手术前,手术内和手术后的临床数据.
- 早期输出管的定义是移植后6小时内;与延迟输出管 (>6小时) 的比较.
主要成果:
- 分析了237名患者;24% (57) 接受了早期输出管.
- 后勤回归确定了手术后的基础过量,输血的红细胞单位和尿液量作为重要预测因素.
- 预测因素包括初始基数过量,红细胞积量和手术后6小时的尿液量.
结论:
- 手术后的基过量,红细胞输血量和尿液量是成功早期气管外抽的关键预测因素.
- 这些因素构成了提议的雪拉兹输出管预测器公式的基础.
- 这些发现支持开发一种临床工具,以指导肝移植患者的早期输出的决定.
相关概念视频
Endotracheal Tube Extubation
765
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....
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....
765
Endotracheal Intubation II: Nursing Management
729
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...
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...
729
Endotracheal Intubation I: Procedure
1.5K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.5K
Tracheostomy Decannulation
201
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...
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...
201
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
Tracheostomy Care I: Pre-procedural Steps
205
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
205


