在脑死亡评估期间,对传统机械通风进行呼吸暂停测试.
Rameez Ali Merchant1,2, Shahid Nafees Ahmad3, Bradley Haddix4
1Department of Neurosurgery, University of Michigan, 3552 Taubman Health Care Center, SPC 5338, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109-5338, USA.
Neurocritical care
|April 25, 2024
概括
使用机械通风的呼吸暂停测试是确定脑死亡的安全有效方法. 与氧气 insufflation 相比,这种技术显示出较少的并发症,如低氧症.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 呼吸暂停测试对于评估大脑死亡至关重要.
- 传统的机械呼吸机可以适应呼吸暂停的测试.
- 持续的正气道压力提高了呼吸暂停测试的耐受性.
研究的目的:
- 评估机械通风上的呼吸暂停测试的安全性和有效性.
- 为了比较机械通风呼吸暂停测试与氧气灌气技术.
主要方法:
- 从2016-2022年对92名成年患者进行了回顾性研究.
- 使用机械通风或氧气灌气进行的呼吸暂停测试.
- 评估的结果包括成功完成测试和患者的不稳定性 (低血,低血压,心律失常,心脏骤停).
主要成果:
- 在58名患者中使用机械通风,在32名患者中使用氧气灌气.
- 在97%的患者中,呼吸暂停测试成功完成.
- 低氧症发生在12.5%的氧气灌输患者中,与机械通风患者的0%相比 (p=0.01).
- 氧气 insufflation 独立预测患者的不稳定性 (OR 37.74).
结论:
- 在传统的机械通风中进行呼吸暂停测试是可行的.
- 机械通风比氧气灌气具有潜在的优势.
- 这种技术是确定脑死亡的安全有效替代方法.
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