使用壁吸式自动排水在胸腔切开过程中产生的吸气压力:一个体外和体内生机分析
Abdias Rodriguez1, Anuradha Ramaswamy2, Aravind A Menon2
1Harvard Medical School, Boston, MA.
概括
胸腔移植的自动壁吸是安全有效的,减少了流体排水时间,没有过度压力. 这种方法最大限度地减少了压力变化,为流管理提供了潜在的改进方法.
科学领域:
- 肺部病理学 肺部病理学
- 医疗器械 医疗器械
- 干预程序 干预程序
背景情况:
- 关于胸膜切开过程中最佳的胸膜液排水存在争议.
- 人们仍然担心高吸气压力和自动墙壁吸气的巴罗创伤.
研究的目的:
- 为了比较手动和自动壁吸的吸气压力和效率,用于胸腔.
- 在临床环境中评估自动壁吸的安全性和有效性.
主要方法:
- 在体外实验中比较手动 (注射器) 和自动 (壁吸) 排水的盐液.
- 临床研究测量在成年患者的自动胸腔切除过程中动态吸气压力.
- 记录吸入量,排水时间,患者的不适和并发症.
主要成果:
- 自动吸收在体外显示了更短的疏散时间 (230s vs 365s) 和更低的平均最大压力 (-361 cmH2O vs -496 cmH2O).
- 临床自动排水显示了类似的压力 (-350 cmH2O) 与有限的变化 (19.3 cmH2O IQR).
- 没有观察到肺胸炎或重新扩张的肺等并发症.
结论:
- 用于胸腔切除的自动壁吸液不会产生过高的压力或显著的压力波动.
- 该程序是安全和有效的,可能会降低膜溢出疏散时间.
相关概念视频
Endoscopic Studies II: Thoracocentesis
496
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...
496
Tracheostomy Suctioning I: Pre-Procedural Steps
1.1K
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
1.1K
Suctioning the Nasopharyngeal Airway
938
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
938
Suctioning the Oropharyngeal Airway
375
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
375
Tracheostomy Suctioning II: Procedure
569
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
569
Mechanical Ventilation II: Invasive Ventilation
253
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...
253


