在小儿ARDS患儿的输出管后进行呼吸支
Judith Ju Ming Wong1, Herng Lee Tan2, Rehena Sultana3
1Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore; and Paediatric Academic Clinical Programme, Duke-NUS Medical School, Singapore. judith.wong.jm@singhealth.com.sg.
Respiratory care
|March 27, 2024
概括
大多数患有ARDS的儿科患者在输出管后需要呼吸辅助. 更长的呼吸器持续时间和更高的重量与需要这种支持有关,许多人在放电时仍然需要它.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统医学 呼吸系统医学
- 肺部病理学 肺部病理学
背景情况:
- 吸管后呼吸支有助于儿童急性呼吸困扰综合征 (ARDS) 的恢复.
- 它旨在促进机械通风的成功断奶.
- 了解它的使用和预测因素对于优化患者护理至关重要.
研究的目的:
- 描述从输出管到出院的儿科ARDS患者在输出管后呼吸支的使用情况.
- 为了确定与需要 postextubation 呼吸支持相关的风险因素.
- 收集初步数据,以便在未来对小儿ARDS管理进行更大规模的研究.
主要方法:
- 一项试点,单中心,前性队列研究,涉及儿科ARDS患者.
- 系统记录呼吸状况和支持使用,直到医院出院.
- 多变量后勤回归分析以确定预测因素,包括氧化指数 (OI),呼吸器持续时间和重量.
主要成果:
- 74%的儿科ARDS患者接受了喷射后呼吸支持.
- 支持使用随着ARDS严重程度的增加 (轻度62.2%,中度90.5%,重度100%).
- 更高的OI,更长的呼吸器持续时间和患者体重与增加的支持使用有关.
结论:
- 大多数被直管的儿科ARDS患者需要呼吸辅助术.
- 很大一部分人仍然需要支持,直到他们出院.
- 呼吸器的持续时间和重量是影响呼吸后呼吸支需求的关键因素.
相关概念视频
Endotracheal Tube Extubation
641
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....
641
Acute Respiratory Failure-V
137
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
137
Endotracheal Intubation II: Nursing Management
612
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...
612
Pulmonary Cycle: Exhalation
1.6K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.6K
Acute Respiratory Failure-III
184
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
184
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
560
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
560


