从高体积,低压袖带内管中形成气管的发展
Aldin Malkoc1, Stephanie Wong2, Raja Gnanadev1
1Arrowhead Regional Medical Center, 400 N Pepper Ave, Colton, CA 92324, USA.
American journal of otolaryngology
|November 18, 2023
概括
高容量,低压内管显示安全性有所提高,气管的发病率较低,输管时间和严重程度之间没有相关性. 这些发现支持它们用于预防气管损伤.
科学领域:
- 医疗器械 医疗器械
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
背景情况:
- 喉因长时间输管而造成的阳性损伤很常见,但气管损伤的研究较少.
- 这项研究的重点是气管损伤,特别是,可以发生在内管的袖口和尖端.
- 高容量,低压 (HVLP) 内管正在研究它们在预防这些损伤方面的作用.
研究的目的:
- 为了研究带袖子,大容量,低压内管在预防气管的有效性.
- 为了确定被直管的受试者中气管的发生率和严重程度.
- 分析输管时间,住院时间和死亡率与气道的严重程度之间的关系.
主要方法:
- 从2002年到2018年,对1355名从2002年到2018年经过皮肤通道气管切除术的受试者进行了回顾性审查.
- 气管的存在和严重程度在气管位放置期间被记录下来.
- 统计分析 (ANOVA,Chi-square) 根据的严重程度对结果进行了比较,alpha值为0.05.
主要成果:
- 206名受试者符合纳入标准;141人患有不同严重程度的气管.
- 在严重程度组之间没有发现年龄,性别,BMI,住院时间,呼吸器时间或死亡率的统计学上显著差异.
- 临床显著 (中度至重度) 气管的平均年发病率为2.2%.
结论:
- 气管的发病率低,与输入管持续时间缺乏相关性,表明HVLP内管提高了安全性.
- 这些发现支持这些管在预防气管损伤方面提高了安全性.
- 这项研究为预防措施和潜在的内肌管设计修改提供了洞察力.
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