Díaz Lobato S, Alvarez Sala R, García Talavera I, García Río F, Pino García J M, Villasante C, Villamor J
Servicio de Neumología, Hospital La Paz, Madrid.
Rev Clin Esp. 1992 Jul;191(3):137-40.
We present our experience with oxygen-therapy with transtracheal catheter in the period between January 1990 and December 1991. This procedure was offered to 130 patients who met criteria of home oxygen-therapy being accepted only by twelve. Ten patients maintained oxygen-therapy with transtracheal catheter with excellent results and a notable improve in their quality of life. One patient died twenty-three days after beginning the procedure, due to evolution of main disease finding no role of the catheter in the disease. Another patient showed a vagal reaction after placement of the catheter, which forced to perform resuscitation with connection to mechanical ventilation taking the catheter off because familiar request. Patients who benefit this type of oxygen-therapy the trans-tracheal catheter has showed its usefulness. With few complications and showing no problems in its home handling. Oxygen savings with this technique have been of 55%. Trans-tracheal catheter was much more effective than face mask to correct desaturation after exercise (p less than 0.001).
我们介绍了1990年1月至1991年12月期间使用经气管导管进行氧疗的经验。该方法应用于130名符合家庭氧疗标准的患者，仅有12人接受。10名患者使用经气管导管维持氧疗，效果极佳，生活质量显著改善。1例患者在开始该治疗23天后死亡，原因是主要疾病进展，未发现导管与疾病之间存在关联。另1例患者在放置导管后出现迷走神经反应，因家属要求，取下导管并连接机械通气进行复苏。经气管导管氧疗使患者受益，并发症少，在家中使用无问题。该技术节省氧气55%。运动后纠正低氧血症时，经气管导管比面罩更有效（p<0.001）。
