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预测肺炎的输出输出结果 - - 对呼吸器指数的系统审查
Cristiano Gomes da Silva1, Clara Pinto Diniz1,2, Luis Felipe da Fonseca Reis3
1Laboratório de Pesquisa Clínica em Doença de Chagas, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, Brasil.
在自发呼吸试验 (SBT) 期间的快速浅呼吸指数 (RSBI) 等呼吸指数显示出肺炎患者输出管成功的预测价值有限. 需要更多的研究来确定可靠的输出的标准.
科学领域:
- 临界护理医学 临界护理医学
- 肺部病理学 肺部病理学
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 机械通风 (MV) 对患有肺炎引起的呼吸衰竭的成年人至关重要.
- 评估输出管的准备度至关重要,以防止重新输出管并改善患者的治疗结果.
- 目前用于预测肺炎患者抽管成功的方法需要进一步验证.
研究的目的:
- 系统地审查使用通风指数来评估肺炎成年人的输出输出结果.
- 评估自发呼吸试验 (SBT) 的预测实用性以及相关的输出成功指数.
- 为了确定证据中关于这个患者群体的输出的标准的空白.
主要方法:
- 对涉及成年人接受肺炎MV的观察性研究的系统审查.
- 包括的研究评估了使用呼吸道指数测试的输出输出结果.
- 数据以描述性合成,重点是自发呼吸试验 (SBT) 和快速浅呼吸指数 (RSBI).
主要成果:
- 三项研究符合纳入标准.
- 自发呼吸试验 (SBT) 是主要使用的呼吸指数.
- 在SBT成功后,输出管失败率在7%至38%,在SBT失败后为13%.
- 快速浅呼吸指数 (RSBI) 在定义SBT成功时被考虑.
结论:
- 从方法上受限制的研究中获得的证据有限.
- 呼吸器指数,包括SBT和RSBI,对肺炎中输出管失败的预测效用不足.
- 对于肺炎患者,可靠的抽管标准需要通过前性研究进一步验证.
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