相关实验视频
Updated: Jul 17, 2026

05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
患有第四腹腔瘤的儿童手术后输出失败的风险因素和结果:一个病例对照研究
Wenmin Yang1, Jinda Huang1, Feiyan Chen1
1Pediatric Intensive Care Unit, Guangzhou Women and Children's Medical Center (Guangzhou Medical University), Guangzhou, Guangdong, 510030, China.
BMC pediatrics
|December 23, 2024
概括
咳反射弱或不存在,显著增加了小儿科患者进行第四腹腔瘤手术的输出管失败的风险. 这种故障导致更长的机械通风和住院时间.
科学领域:
- 儿科神经外科 儿科神经外科
- 关键护理医学 关键护理医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 第四心室瘤的微手术切除是儿科患者的关键治疗方法.
- 手术后输出失败 (EF) 是一个重大问题,但风险因素仍然不太清楚.
- 确定EF的预测因子对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定第四腹腔室瘤切除后儿童的输出失败的风险因素.
- 确定输出管失败与该人群的临床结果之间的关联.
主要方法:
- 对103名接受第四腔室瘤手术并尝试输出管的儿童进行了回顾性研究 (2020年1月 - 2023年12月).
- 输出失败被定义为在7天内重新输入管道.
- 用多变量逻辑回归和双变量分析来确定风险因素和临床结果关联.
主要成果:
- 9.7%的儿童经历了输出管失败.
- 一个弱/缺席的咳反射独立地与EF相关 (OR 41.25,p<0.001).
- 输出失败与更长的机械呼吸,PICU和住院时间相关.
结论:
- 咳反射弱或不存在是第四腹腔瘤手术后儿科患者输出失败的重要预测因素.
- 输出失败与更糟糕的临床结果有关,包括长时间的资源利用.
相关概念视频
Acute Respiratory Failure-III
138
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...
138
Endoscopic Studies II: Thoracocentesis
174
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
174
Tracheostomy: Procedure and Tubes
202
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...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
202
Endotracheal Intubation I: Procedure
287
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
287
Endotracheal Intubation II: Nursing Management
289
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
289
Endotracheal Tube Extubation
160
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
160

