在机械通风患者中使用一种新型的超管吸气装置:一项随机对照试验
Mauricio Orozco-Levi1,2,3, Diana Carolina Tiga-Loza1,3, Orlando Aya4
1Department of Respiratory Medicine, International Hospital of Colombia, Fundación Cardiovascular de Colombia, Piedecuesta, Santander, Colombia.
在机械通风患者中,SUPRAtube装置有效降低了液体积累. 这种创新是安全的,简单的,廉价的,可以预防呼吸道并发症.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 医疗设备创新 医疗设备创新
背景情况:
- 与呼吸器相关的事件 (VAE) 和超节流体积累是机械通风患者的重大问题.
- 管理口腔喉和肺部分泌物的标准护理包括加湿,调动和吸.
研究的目的:
- 评估SUPRAtube装置在预防VAE和在supraglottic区域积聚液体方面的有效性和安全性.
- 评估连续的supraglottic吸收对机械通风患者的分泌管理的影响.
主要方法:
- 一个多中心,随机,并行,开放的临床试验,涉及108名接受机械呼吸 (MV) 的成年患者.
- 患者被分为1:1接受标准护理或标准护理,再加上使用SUPRAtube装置持续吸入.
- 包括标准包括血液动力学稳定性,上呼吸道完整性和可接受的凝血参数.
主要成果:
- 与对照组 (415 g) 相比,SUPRAtube组显示了显著增加的吸入量 (624 g) (p<0.001).
- 这代表了分泌物去除的50%增加,表明液体积累减少.
- 没有任何不良事件与使用SUPRAtube设备有关.
结论:
- 使用SUPRAtube装置进行连续的supraglottic吸收是一种有效,安全,简单和廉价的方法,可以减少分泌物积累.
- 该设备在预防和改善气管支气管炎方面表现出临床益处,这是光纤支气管镜检查结果所证明的.
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