相关实验视频
Updated: Jul 10, 2025

11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
17.6K
替代新生儿输管治疗的其他方法
Calum T Roberts1, Joyce E O'Shea2
1Department of Paediatrics, Monash University, Melbourne, VIC, Australia; The Ritchie Centre, Hudson Institute of Medical Research, Melbourne, VIC, Australia; Monash Newborn, Monash Children's Hospital, Melbourne, VIC, Australia.
Seminars in fetal & neonatal medicine
|November 24, 2023
概括
新生儿输管技巧正在下降,需要替代新生儿复苏策略. 鼻腔器械和上气道为面罩通风提供了有希望的替代方案,改善了婴儿的呼吸支.
科学领域:
- 新生儿护理 新生儿护理
- 儿科复苏 儿科复苏 儿科复苏
- 呼吸系统的支持呼吸系统的支持
背景情况:
- 练习和保持新生儿输管技能的机会减少.
- 许多临床医生缺乏对新生儿输管的熟练程度,增加了对替代方法的需求.
- 大多数早产婴儿在出生时需要稳定,而不是密集的复苏.
研究的目的:
- 审查新生儿呼吸支和复苏的替代策略.
- 评估非输管方法在优化新生儿呼吸方面的有效性.
- 确定最有效的初始方法,以期和近期的婴儿复苏.
主要方法:
- 关于新生儿呼吸辅助和复苏技术的当前文献的综述.
- 对触觉刺激,延迟带紧和避免缺氧的疗效的分析.
- 评价鼻腔器械和鼻腔上空气道作为面罩通风和输管的替代方案.
主要成果:
- 触觉刺激,延迟带紧和避免缺氧可以优化早产婴儿的呼吸.
- 鼻腔装置显示出作为面膜替代品的有前途,用于早期呼吸支持.
- 超节气道可能是最有效的初始复苏方法为期/近期婴儿,可能减少输管的需要.
结论:
- 由于输管技巧的维护能力下降,诸如鼻腔装置和上方气道等替代策略至关重要.
- 超节气道可以教给各种提供者,并可能减少对新生儿输管的需要.
- 需要进一步的研究来确定新生儿复苏器件的最佳训练方法.
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
Endotracheal Intubation II: Nursing Management
710
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...
710
Endotracheal Tube Extubation
749
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....
749
Tracheostomy Decannulation
195
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...
195
Mechanical Ventilation III: Noninvasive Ventilation
125
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
125
Tracheostomy Care I: Pre-procedural Steps
200
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:
200

