一个无手可穿戴的电喉,用于气管切除,机械通风的重症患者的沟通:一个案例系列
Koji Sato1, Junji Genda2, Seiki Deguchi2
1Intensive Care Unit, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, 920-8641, Japan. rijyuma@yahoo.co.jp.
Journal of anesthesia
|March 12, 2025
概括
无手电喉可以改善气管切除术,机械通风患者的言语. 这种设备增强了自主通信,与需要辅助的传统电喉不同.
科学领域:
- 医疗工程 医疗工程
- 语言病理学 语音病理学
- 呼吸系统护理 呼吸系统护理
背景情况:
- 电喉对于气管切除术,机械通风患者的沟通至关重要.
- 患者的软弱可能会限制传统电喉装置的有效性.
- 无手电喉可以克服局限性,通过使语音无需手动操作设备而克服局限性.
研究的目的:
- 为了评估空手电喉在气管切除术,机械通风患者的语音可理解性.
- 为了比较无手术与患者使用常规电喉的有效性.
- 评估无手电喉在增强自主通信方面的潜力.
主要方法:
- 一个涉及七名气管切除术,机械通风患者的病例系列.
- 患者使用了传统和自由手电喉装置.
- 语音可理解性是使用5分电喉效率评分 (EES) 来测量的,评分≥4表明有效使用.
主要成果:
- 无手电喉的EES中位数为3.5,有效使用者为42.9%.
- 传统的电喉,由工作人员操作,平均EES为4 (57.1%的有效用户),没有显著差异 (p=0.7).
- 独立使用常规电喉的患者平均EES值明显低2 (p=0.03),没有有效使用者.
结论:
- 与传统设备相比,无手电喉在患者独立使用时表现出更高的语音可理解性.
- 无手电喉技术有可能改善这种患者群体的沟通自主性.
- 这种方法可以减少对外辅助语言的依赖.
相关概念视频
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
243
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,...
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,...
243
Tracheostomy Decannulation
74
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...
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...
74
Oxygen Delivering System III: Tracheostomy and T-piece
316
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...
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...
316
Tracheostomy Care II: Procedure
98
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
98
Tracheostomy Care I: Pre-procedural Steps
110
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:
Required Equipment
The equipment necessary for tracheostomy care includes:
110
Tracheostomy: Procedure and Tubes
340
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...
340


