缓慢地以恒定的速度降低内管袖口的压力,可以降低抽期间咳的发生率:一项随机临床试验
Zhuan Zhang1, Ning Li1, Hu Li1,2
1Department of Anesthesiology, The Affiliated Hospital of Yangzhou University, Yangzhou University, No. 368 Hanjiang Road, Yangzhou, 225012, China.
Perioperative medicine (London, England)
|October 1, 2024
概括
慢慢排气的内管袖口压力显著减少了排泄过程中的咳. 这种方法还稳定了血液动力学,并减少了与快速通缩相比的不良反应.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 输出管时咳是一种常见的不良事件.
- 输内管袖口压力管理对于患者安全至关重要.
- 调查减轻输出管相关并发症的方法.
研究的目的:
- 评估缓慢,受控的内管袖口压力放缓在减少抽出管时咳的有效性.
- 为了比较缓慢和快速袖口通气技术之间的咳和不良反应的发生率.
- 评估不同通缩方法对血液动力学稳定性的影响.
主要方法:
- 一项随机对照试验,涉及90名接受非心脏手术的患者.
- 患者被分为两个组:缓慢通气 (3cmH2O/s) 和快速通气.
- 记录了咳发生率,血液动力学参数 (MAP,HR) 和不良反应.
主要成果:
- 缓慢通缩组在输出过程中咳的发生率显著降低 (P=0.001).
- 血液动力学参数 (MAP,HR) 在缓慢通缩组在输出管后 (P<0.05) 更加稳定.
- 在缓慢通缩组 (P=0.021) 中,喉喉不适显著减少.
结论:
- 慢慢降低内管袖口压力是一种有效的策略,以尽量减少排泄过程中的咳.
- 这种技术促进了血液动力学稳定,并减少了输出管后不良事件的发生.
- 控制的袖口压力管理在全身麻醉后为患者提供了更好的治疗结果.
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