SARS-CoV-2 感染增加了气管切除术后患者的呼吸道出血风险
Shupin Tang1,2,3, Gongbiao Lin4,5,6, Xiaobo Wu1,2,3
1Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Virology journal
|March 8, 2024
概括
气管切除术后感染SARS-CoV-2的患者面临增加的呼吸道出血风险. 气管抽样在这些患者中更可靠地检测SARS-CoV-2,因为病毒载量更高.
科学领域:
- 传染性疾病 传染性疾病
- 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:
- 气道出血是SARS-CoV-2患者气管切除术后的罕见并发症.
- 了解SARS-CoV-2感染与气管切开术后气道出血之间的联系至关重要.
研究的目的:
- 为了研究SARS-CoV-2感染和气管切除术后呼吸道出血之间的相关性.
- 为了评估SARS-CoV-2 RNA检测在上空空气道样本和下空气道样本的一致性.
主要方法:
- 在气管切除术后的44名患者被根据SARS-CoV-2RNA口腔膜擦拭结果 (29个阳性,15个阴性) 分组.
- 在阳性组中采集了口腔喉和气管抽样,用于SARS-CoV-2 RNA测试.
- 记录了人口统计数据,临床特征和气道出血事件.
主要成果:
- 呼吸道出血发生在37.9%的SARS-CoV-2阳性患者中,而在阴性患者中为6.7% (p < 0.05).
- 出血的表现包括血,血和气管皮层形成,导致呼吸不良.
- 在口腔和气管之间观察到周期值 (Ct) 值的显著差异 (p < 0.05).
结论:
- SARS-CoV-2 感染增加了在气管切开术后对气道出血的易感性.
- 气管扫描对于检测SARS-CoV-2更可靠,因为气管中的病毒载量更高,感染持续时间更长.
- SARS-CoV-2的传播途径可能包括通过空气传播和密切接触,除了通过气管口腔传播的滴滴外.
相关概念视频
Tracheostomy Suctioning I: Pre-Procedural Steps
547
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
547
Tracheostomy Decannulation
164
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...
164
Tracheostomy Suctioning II: Procedure
241
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
241
Tracheostomy Care II: Procedure
179
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
179
Tracheostomy Care I: Pre-procedural Steps
185
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:
185
Tracheostomy: Procedure and Tubes
574
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
574


