Lyons Marie J, Cooke Jo, Cochrane Lesley Ann, Albert David M
Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, United Kingdom.
Int J Pediatr Otorhinolaryngol. 2007 Nov;71(11):1743-6. doi: 10.1016/j.ijporl.2007.07.017. Epub 2007 Sep 11.
Displacement of tracheostomy tubes, especially soon after insertion has a high morbidity and mortality rate. We present a safe atraumatic reliable method of tracheostomy tube replacement.
Tertiary paediatric centre.
The method involves using a suction catheter placed in the trachea. Its position can be confirmed by suctioning tracheal secretions. The catheter can be used to employ the Seldinger technique for replacement of the tracheostomy tube and can be used to jet ventilate the patient if there is failure to site a tube. This buys time while a surgical airway is placed. We also outline the minimum contents of the emergency box, which should be carried at all times by the carers of a child with a tracheostomy.
Use of a suction catheter is a safe reliable atraumatic way of replacing a tracheostomy tube.
气管造口管移位，尤其是在插入后不久，其发病率和死亡率很高。我们提出一种安全、无创、可靠的气管造口管更换方法。
三级儿科中心。
该方法包括使用放置在气管内的吸引导管。其位置可通过抽吸气管分泌物来确认。该导管可用于采用塞丁格技术更换气管造口管，并且如果插管失败，可用于对患者进行喷射通气。这在建立手术气道时赢得了时间。我们还概述了急救箱的最低配备物品，气管造口儿童的护理人员应随时携带。
使用吸引导管是更换气管造口管的一种安全、可靠、无创的方法。
