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相关概念视频

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

137
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...
137
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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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...
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Trachea01:22

Trachea

1.8K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
1.8K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

644
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
644
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

151
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:
151
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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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,...
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Guidelines for Elective Pediatric Fiberoptic Intubation
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在小儿气管切除术后的小结节下狭窄.

Rishi Suresh1, Cheyenne Roohani1, Cynthia S Wang1,2

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, 75390, U.S.A.

The Laryngoscope
|August 27, 2024
PubMed
概括

在小儿气管切除术后,子结节狭窄症 (SGS) 的发生率为每年每100名患者中有11.5例. 低出生体重和初始的下损伤是儿童SGS发展的关键风险因素.

关键词:
获得的小喉狭窄症.气道受伤的原因是空气道受伤.呼吸道狭窄症 呼吸道狭窄症直接喉镜检查是指直接的喉镜检查.出生时体重较低的婴儿.儿科气管切除术 儿童气管切除术

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科学领域:

  • 儿科耳鼻喉科 儿科耳鼻喉科
  • 儿科手术 儿科手术
  • 呼吸系统医学 呼吸系统医学

背景情况:

  • 肠下狭窄症 (SGS) 是儿童气管切除术后的一种潜在并发症.
  • 识别发病率和风险因素对于预防和管理至关重要.

研究的目的:

  • 为了确定SGS的发病率,在小儿科患者中进行气管管切除术后.
  • 确定与该群体中SGS发展相关的特定风险因素.

主要方法:

  • 对经过气管切除术的18岁以下患者进行了回顾性队列研究.
  • 包括同时和随后的直接喉腔镜 (DL) 患者.
  • 检查医疗记录以确定SGS和相关风险因素.

主要成果:

  • 140名儿科患者被纳入该研究.
  • 每年每100名患者中SGS的发病率为11.5例.
  • 较低的出生体重,较短的妊娠年龄,较年轻的年龄,较低的体重和早期的小结肠下损伤与SGS的发展有关.

结论:

  • 儿科气管切除术后SGS的发生率估计为每100名患者每年11.5例.
  • 低出生体重和气管切除术时的下损伤是SGS的重要风险因素.
  • 这些发现凸显了一个需要仔细监测的脆弱人群.