相关实验视频
Updated: Jul 11, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
[在儿童重症监护病房患者中,一夜间输出管与输出管失败无关:一项回顾性队列研究]
Maybreet Ibarra V1, Francisca Andrades E2, Maria Satta S2
1Hospital Clínico Dra. Eloísa Díaz I. La Florida, Santiago, Chile.
夜间输出管在儿科患者中是安全的,并且与输出管失败无关. 这种做法可能会导致侵入性机械通风持续时间缩短,这表明临床因素应该指导输出管的时间.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 关于输出管的安全性和时间存在有限的数据,特别是在夜间或非营业时间.
- 了解输出管的实践对于优化儿科重症监护中的患者结果至关重要.
研究的目的:
- 为了确定夜间输出 (NE) 和非营业日输出 (nBDE) 的频率.
- 评估NE/nBDE与临床结果 (如输出失败) 之间的关联.
主要方法:
- 一项回顾性队列研究对接受管试验的儿科患者 (<18岁) 进行.
- 从2018年至2021年,在一个高度复杂的儿科重症病人病房 (PCPU) 中收集了数据.
- 夜间输出被定义为在20:01和8:00之间输出.
主要成果:
- 晚间输出发生在17.8%的病例中,并且与输出失败的增加无关.
- 在NE (3.8%) 和白天输出 (DE) (5%) 中,输出失败率相似.
- 与DE相比,接受NE的患者经历了侵袭性机械通风 (MV) 的时间较短 (48h vs 72h).
结论:
- 夜间输出管是儿科重症监护机构的安全实践.
- 在NE患者中,侵入性机械通风持续时间较短表明了潜在的益处.
- 抽管时间的决定应该优先考虑临床状态,而不是一天中的时间.
更多相关视频
07:52Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
相关概念视频
Endotracheal Tube Extubation
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....
Endotracheal Intubation II: Nursing Management
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...
Endotracheal Intubation I: Procedure
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...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
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,...
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Tracheostomy Decannulation
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...