气管切除术后实施上声调是可行的,并且与早期的发言有关
Srdjan Gajic1, Lauren Jacobs2, Catherine Gellentien2
1Division of Pulmonary, Allergy and Critical Care, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
American journal of speech-language pathology
|December 6, 2023
概括
使用专门的气管切除管来实现上声 (ACV) 是可行的和安全的. 这一协议有助于在重症重症监护室 (ICU) 患者的早期发言.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 语音语言病理学 语言病理学
背景情况:
- 气管切除术常见于需要长时间机械通风的重症患者.
- 气管切除术患者的沟通挑战仍然存在,影响生活质量和护理.
- 上方袖口发音 (ACV) 为语音恢复提供了一个潜在的解决方案.
研究的目的:
- 评估ACV协议在全医院实施的可行性.
- 评估ACV对重症监护室 (ICU) 患者言语的影响.
- 为了确定ACV可用的气管切除管的安全性和有效性.
主要方法:
- 在26个月内对323名成年ICU患者进行了前后观察性研究.
- 实施一个多学科开发的ACV协议,使用能够使用ACV的气管切开管.
- 语音定义为语音语言病理学家评估期间至少一个可理解的单词.
主要成果:
- 干预后的发言时间中位数显著减少,从13天减少到9天 (p = .0017).
- 在60天内,语音成就率在干预前和干预后相似 (60.5%对62.4%).
- 在24/29 (82.8%) 被试验的患者中,ACV促进了言语,平均获益为8个言语日,没有重大并发症.
结论:
- 气管切除术后的常规ACV实施在重症患者中是可行的和安全的.
- 在不同ICU人群中,ACV与早期语音恢复有关.
- ACV是有价值的通讯方法,用于通风患者的气管切除和袖口膨胀.
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