在长期使用机械通风的极度早产婴儿中,下喉扩张
Hussnain Mirza1, Carlos Carmona2, Callie Alt3
1Center for Neonatal Care, Advent Health for Children, Orlando, FL, 32804, USA.
Respiratory medicine
|July 18, 2024
概括
在极度早产的婴儿中,长时间的机械通风与下扩张有关. 护理点超声波 (POCUS) 可靠地测量了新生儿的呼吸道损伤.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科肺病学 儿科肺病学
- 医学成像医学成像
背景情况:
- 气道损伤,包括下狭窄症,是患有支气管肺形症的早产婴儿的一个担忧.
- 长时间的机械通风是新生儿呼吸道并发症的潜在危险因素.
研究的目的:
- 为了研究长时间通风和极度早产婴儿的小肠下扩张之间的关联.
- 评估点照顾超声波 (POCUS) 的可靠性,以评估下扩张.
主要方法:
- 研究了一组需要侵入性通风的极度早产婴儿 (<29周) 的队列.
- 婴儿被分为控制 (≤7天通风) 和长时间通风 (≥28天) 组.
- 使用POCUS测量气管大小,评估观察者内部和观察者之间的变化.
主要成果:
- 与对照组相比,需要长时间通风的婴儿表现出显著的肠下扩张 (4.51 ± 0.04毫米与4.17 ± 0.02毫米相比,p < 0.01).
- 气管测量的观察者内部和观察者之间的相关性很高 (分别为0.97和0.83).
- 长时间的通风与更高的感染风险,支气管肺功能失调和更长的住院时间有关.
结论:
- 经过长时间通风的极度早产婴儿容易患 subglottic 扩张.
- POCUS提供了一种可靠的方法,用于测量这种脆弱人群的小肠下扩张.
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