用处方性正压通风成功治疗异常性,不可吸收的 - 一个案例报告
Delisa Rampersad1, Josh Slaven2
1Cizik School of Nursing, University of Texas Health Science, Houston, Texas.
AANA journal
|October 3, 2024
概括
难以吸收的打,通常不耐标准治疗,可以使用正压通风来解决. 这种少入侵的方法避免了在一个病人身上进行神经刺激器安置手术.
科学领域:
- 医学案例研究 医学案例研究
- 呼吸系统医学 呼吸系统医学
- 神经外科 神经外科
背景情况:
- 持续的打会对生活质量产生重大影响.
- 异常性,难以治愈的打是很难管理的.
- 以前的药物治疗和神经阻塞等治疗方法是无效的.
研究的目的:
- 报道一种新的,不那么侵入性的治疗难治的打.
- 评估正压通风在解决打时的有效性.
- 为了确定是否可以避免手术干预神经刺激器的放置.
主要方法:
- 一名65岁的男性患者在经过椎间板裂修复后患有难以治愈的打.
- 处方性正压通风通过内管进行.
- 神经肌肉阻塞导致隔膜,随后生命能力呼吸到25厘米H2O.
主要成果:
- 患者经历了难以治愈的打完全消失.
- 积极压力通风治疗是成功的.
- 为了安置神经刺激器,进一步的手术被认为是不必要的.
结论:
- 阳性压力通风为难以治愈的打提供了一个可行的,不那么侵入性的替代方案.
- 这种方法有可能消除对外科手术的需要.
- 隔膜麻和受控通风可以解决耐火性打.
更多相关视频
相关概念视频
Mechanical Ventilation III: Noninvasive Ventilation
81
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
81
Mechanical Ventilation II: Invasive Ventilation
114
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
114
Mechanical Ventilation I: Indication and Settings
196
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
196
Cardiopulmonary Resuscitation II: ACLS Airway Management
2
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
2
Hyperpnea and Hyperventilation
988
Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
988
Acute Respiratory Failure-III
162
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
162


