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在体温下浸入盐水对气道支装置的影响,包括使用3D打印制造的新型鼻装置
Sarah A Raven1, Nathan T Montgomery2, Alyssa S Chen3
1University of Michigan Medical School, Michigan Medicine, University of Michigan, 1301 Catherine Street, Ann Arbor, MI 49109, USA; Department of Otolaryngology - Head and Neck Surgery, Wayne State University, 5E UHC, 4201 St Antoine, Detroit, MI 48201, USA.
American journal of otolaryngology
|May 10, 2024
概括
由和PVC制成的鼻气道 (NPA) 在盐水中保持稳定,与扩展的Mediprene NPA不同. 这表明,和PVC在长时间的患者使用中更安全.
科学领域:
- 医疗器械 医疗器械
- 生物材料科学 生物材料科学
- 呼吸系统护理 呼吸系统护理
背景情况:
- 鼻气道 (NPA) 对于保持气道通透性至关重要.
- 了解材料稳定性对于安全,长期使用设备至关重要.
- 尺寸变化可能会影响设备的有效性和患者的安全性.
研究的目的:
- 在模拟的体内条件下评估各种NPA和内管 (ETT) 的维度稳定性.
- 评估在体温下浸入盐水对15天内设备尺寸的影响.
- 为了比较一款新型自助式NPA (ssNPA) 与传统设备的稳定性.
主要方法:
- 在37°C的0.9%盐水中浸泡NPA (Covidien ETT,Rusch PVC NPA,Rusch Mediprene NPA,新型ssNPA) 15天.
- 在多个时间点 (0-15天) 测量管道长度和壁厚.
- 使用95%置信区间对尺寸与基线 (第0天) 的统计比较.
主要成果:
- 在Covidien ETT,Rusch PVC NPA和ssNPA中,没有显著的尺寸变化.
- 鲁施Mediprene NPAs从第一天开始呈现出统计学上显著的长度增加,从第二天开始增加壁壁厚度.
- 在整个研究期间,新型ssNPA表现出极好的维度稳定性.
结论:
- 新型自支NPA (ssNPA) 在尺寸上是稳定的,支持其适合长期使用.
- 聚乙烯 (PVC) NPA和内管也保持了稳定的尺寸.
- 梅迪普林NPA显著扩大,构成延长使用的风险,需要在临床应用中仔细考虑.
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