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使用呼吸机进行说话和吞咽。

Using ventilators for speaking and swallowing.

作者信息

Tippett D C, Siebens A A

机构信息

Department of Speech-Language Pathology, Good Samaritan Hospital, Baltimore, MD 21239.

出版信息

Dysphagia. 1991;6(2):94-9. doi: 10.1007/BF02493486.

DOI:10.1007/BF02493486
PMID:1935265
Abstract

An inflated cuff, although commonly thought to be required for the ventilator-dependent patient with a tracheostomy cannula, precludes speaking and has adverse implications for swallowing. Clinical trials with five ventilator-dependent, cognitively intact individuals with glottic control document that a deflated cuff is compatible with ventilation, preserves oral communication, and restores safe alimentation by mouth.

摘要

虽然人们普遍认为,对于依赖呼吸机的气管造口插管患者需要使用充气袖带,但这会妨碍说话,并对吞咽产生不利影响。针对五名依赖呼吸机、认知功能正常且声门可控的个体进行的临床试验表明,放气袖带与通气兼容,能保持口语交流,并恢复经口安全进食。

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Rev Bras Ter Intensiva. 2015 Jan-Mar;27(1):64-71. doi: 10.5935/0103-507X.20150011. Epub 2015 Mar 1.
2
Effects of cuff deflation and one-way tracheostomy speaking valve placement on swallow physiology.袖带放气及单向气管造口说话瓣膜放置对吞咽生理的影响。
Dysphagia. 2003 Fall;18(4):284-92. doi: 10.1007/s00455-003-0022-x.
3
Reconsidering the value of the modified Evan's blue dye test: a comment on Thompson-Henry and Braddock (1995).

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Assisted ventilation at home: is it worth considering?在家进行辅助通气:是否值得考虑?
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