婴儿呼吸道中持续的喉膨胀 - 灵活的支气管镜测量
Christina Soong1,2, Yu-Sheng Lee3, Chien-Heng Lin4
1Institute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taipei, Taiwan.
PloS one
|November 22, 2023
概括
持续的喉膨胀 (SPI) 与喉氧气流和鼻腔闭塞 (PhO2-NC) 是儿科柔性支气管透镜的一种安全技术. 它有效地增加了气道压力,扩大了光线,帮助检测病变长达3秒.
科学领域:
- 儿科肺病学 儿科肺病学
- 呼吸道内镜检查 呼吸道内镜检查
- 航空航道管理的管理.
背景情况:
- 持续喉膨胀 (SPI) 与喉氧气流和鼻腔闭塞 (PhO2-NC) 是一种新的技术.
- 通过使用SPI与PhO2-NC在气道中产生正膨胀压力.
研究的目的:
- 测量峰值通胀压力 (PIP) 水平,并评估SPI辅助柔性支气管镜检查 (SPI-FB) 期间的图像变化.
- 为了比较SPI-FB在喉空间和中气管亮度中的影响.
- 评估SPI-FB在儿科患者中的安全性和有效性.
主要方法:
- 这是一项前性研究,涉及20名6个月至3岁的参与者.
- 连续的SPI-FB,持续时间为0,1s,3s和5s,为三个周期.
- 使用3.8毫米OD柔性支气管仪测量PIP,图像分析和光线维度得分.
主要成果:
- 在喉和气管中,PIP水平与SPI持续时间正相关 (p <0.001).
- 喉和气管在1s,3s和5s持续时间 (p > 0.05) 中的PIP水平几乎相同.
- 亮度尺寸得分和病变检测在较高的PIP水平和SPI持续时间 (p <0.05) 时显著增加.
结论:
- 使用高达3秒的PhO2-NC的SPI-FB对于儿科患者来说是一种安全和信息丰富的技术.
- 该技术提供可控制的PIP,扩大气道光度,并增强病变检测.
- SPI-FB提供了可视化喉空间和中气膜的好处.
相关概念视频
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
Suctioning the Oropharyngeal Airway
228
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
228
Respiratory Volumes
1.5K
Respiratory volumes are crucial metrics, meticulously measured to quantify the air exchanged in and out of the lungs during various phases of the breathing cycle. These precise measurements are vital for assessing lung function, diagnosing respiratory conditions, and monitoring overall respiratory health. Each parameter provides specific insights into the mechanics of breathing and the functional capacity of the lungs.
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
1.5K


