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新生儿复苏中比色法二氧化碳分析的假阳性结果:对患者造成严重伤害的可能性。

False-positive results on colorimetric carbon dioxide analysis in neonatal resuscitation: potential for serious patient harm.

作者信息

Hughes S M, Blake B L, Woods S L, Lehmann C U

机构信息

Eudowood Neonatal Pulmonary Division, Department of Pediatrics, The Johns Hopkins University, Baltimore, MD, USA.

出版信息

J Perinatol. 2007 Dec;27(12):800-1. doi: 10.1038/sj.jp.7211831.

DOI:10.1038/sj.jp.7211831
PMID:18034166
Abstract

A term infant requiring resuscitation was found to have a false-positive color change on a colorimetric carbon dioxide device as a result of administration of epinephrine via an endotracheal tube. Using models of direct application and vapor exposure with a test lung, we discovered that epinephrine, atropine, infasurf and naloxone may result in false-positive color change. This false-positive response may lead to delayed recognition of esophageal intubation.

摘要

一名需要复苏的足月儿在通过气管内导管给予肾上腺素后,经比色二氧化碳检测装置检测发现出现假阳性颜色变化。使用测试肺直接应用和蒸汽暴露模型,我们发现肾上腺素、阿托品、固尔苏和纳洛酮可能导致假阳性颜色变化。这种假阳性反应可能会导致食管插管的识别延迟。

相似文献

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False-positive results on colorimetric carbon dioxide analysis in neonatal resuscitation: potential for serious patient harm.新生儿复苏中比色法二氧化碳分析的假阳性结果:对患者造成严重伤害的可能性。
J Perinatol. 2007 Dec;27(12):800-1. doi: 10.1038/sj.jp.7211831.
2
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The role of carbon dioxide detectors for confirmation of endotracheal tube position.二氧化碳探测器在确认气管插管位置中的作用。
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Epinephrine delivery during neonatal resuscitation: comparison of direct endotracheal tube vs catheter inserted into endotracheal tube administration.新生儿复苏期间肾上腺素的给药:经气管导管直接给药与经插入气管导管的导管给药的比较。
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Colorimetric end-tidal carbon dioxide detectors in the delivery room: strengths and limitations. A case report.产房中的比色法呼气末二氧化碳探测器:优势与局限性。病例报告。
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引用本文的文献

1
Non-invasive carbon dioxide monitoring in neonates: methods, benefits, and pitfalls.新生儿无创二氧化碳监测:方法、益处和陷阱。
J Perinatol. 2021 Nov;41(11):2580-2589. doi: 10.1038/s41372-021-01134-2. Epub 2021 Jun 19.
2
Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient.加拿大气道焦点小组更新了基于共识的困难气道管理推荐意见:第 1 部分。意识丧失患者中遇到的困难气道管理。
Can J Anaesth. 2021 Sep;68(9):1373-1404. doi: 10.1007/s12630-021-02007-0. Epub 2021 Jun 18.
3
Esophageal Intubation of an Infant.
婴儿食管插管
West J Emerg Med. 2015 Jul;16(4):575-6. doi: 10.5811/westjem.2015.4.25821. Epub 2015 Jun 17.
4
Question 2. Should carbon dioxide detectors be used to check correct placement of endotracheal tubes in preterm and term neonates?问题2:是否应使用二氧化碳探测器来检查早产和足月新生儿气管内导管的正确位置?
Arch Dis Child. 2011 Dec;96(12):1201-3. doi: 10.1136/archdischild-2011-300893.