小儿带套囊气管内导管：护理的演变
Pediatric cuffed endotracheal tubes: an evolution of care.
作者信息
Taylor Connie, Subaiya Lekha, Corsino Daniel
机构信息
Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA.
出版信息
Ochsner J. 2011 Spring;11(1):52-6.
Abstract
PURPOSE
To examine the history of pediatric endotracheal intubation and the issues surrounding the change from uncuffed endotracheal tubes to cuffed endotracheal tubes, including pediatric airway anatomy, endotracheal tube design, complications, and safety concerns.
METHOD
Review of the literature.
CONCLUSIONS
Although the use of cuffed endotracheal tubes in infants and children remains a topic of debate, the literature supports this change in practice. Meticulous attention must be given to intracuff pressure. Cuffed endotracheal tubes designed especially for the pediatric patient may increase the margin of safety.
摘要
目的
探讨小儿气管插管的历史以及从无套囊气管导管改为有套囊气管导管所涉及的问题，包括小儿气道解剖、气管导管设计、并发症及安全问题。
方法
文献回顾。
结论
尽管在婴幼儿中使用有套囊气管导管仍是一个有争议的话题，但文献支持在实际操作中进行这一改变。必须密切关注套囊内压力。专门为小儿患者设计的有套囊气管导管可能会增加安全边际。
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本文引用的文献
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J Crit Care. 2011 Jun;26(3):280-6. doi: 10.1016/j.jcrc.2010.05.035. Epub 2010 Jul 23.
2
Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs.小儿带套囊气管插管可减少七氟醚和医用气体的消耗及相关费用。
Acta Anaesthesiol Scand. 2010 Aug;54(7):855-8. doi: 10.1111/j.1399-6576.2010.02261.x. Epub 2010 Jun 15.
3
Cuffed or uncuffed tracheal tubes during anaesthesia in infants and small children: time to put the eternal discussion to rest?婴幼儿麻醉期间使用带套囊或不带套囊的气管导管：是时候停止这场无休止的讨论了吗？
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