在新生儿内内管管道内进行鼻间歇性正压通风:一项随机对照试验
Ozkan Ilhan1, Kiymet Celik2, Nurten Zarif Ozkan2
1Department of Neonatology, Mugla Sitki Kocman University School of Medicine, Mugla, Turkey.
Pediatric pulmonology
|February 3, 2025
概括
在新生儿内内输管过程中,鼻间断正压通风 (NIPPV) 显著提高了成功输管率. 这种方法减少了婴儿的生理不稳定性,缺氧和心衰竭,特别是当经验较少的从业者进行时.
科学领域:
- 新生儿医学 新生儿医学
- 儿科重症监护 儿科重症监护
- 呼吸系统支持 呼吸系统支持
背景情况:
- 新生儿内内输管是与潜在的生理不稳定性相关的关键程序.
- 在输管过程中评估辅助通风技术的有效性对于改善新生儿结果至关重要.
研究的目的:
- 评估鼻间歇性正压通风 (NIPPV) 是否增加了新生儿内管管道输入成功率,而不会造成生理不稳定.
- 为了比较NIPPV和标准护理组在输管治疗期间的脱和心肌梗塞的发生率.
主要方法:
- 一个前性的多中心随机对照试验,涉及150名新生儿.
- 婴儿被随机分为两个组:NIPPV (n=75) 和标准护理 (n=75).
- 主要结局:成功输管,没有显著的SpO2下降或心.
主要成果:
- 没有生理不稳定的成功输管在NIPPV组 (64%) 与标准护理 (42.7%) (p=0.009) 相比,在NIPPV组显着更高.
- 在NIPPV组显示显著较低的肌心率 (18.7%对41.3%) 和严重的脱度 (30.7%对49.3%).
- 当输入管由没有经验的从业者进行时,益处更为明显.
结论:
- 在新生儿内内管注射期间的NIPPV可以提高手术的成功率,同时保持生理稳定性.
- 在接受输管治疗的新生儿中,NIPPV有效地降低了缺氧和胆心病的发生率.
- 这种技术为改善新生儿输管治疗结果提供了有价值的补充,特别是在具有挑战性的场景中.
相关概念视频
Endotracheal Intubation I: Procedure
907
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...
907
Mechanical Ventilation III: Noninvasive Ventilation
84
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...
84
Endotracheal Intubation II: Nursing Management
525
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...
525
Mechanical Ventilation II: Invasive Ventilation
115
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...
115
Suctioning the Nasopharyngeal Airway
309
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
309
Endotracheal Tube Extubation
473
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....
473


