套囊漏气量作为识别拔管后喘鸣的临床预测指标。
Cuff leak volume as a clinical predictor for identifying post-extubation stridor.
作者信息
Keeratichananont Warangkana, Limthong Teeranan, Keeratichananont Suriya
机构信息
Division of Respiratory and Respiratory Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
出版信息
J Med Assoc Thai. 2012 Jun;95(6):752-5.
BACKGROUND
Post-extubation stridor occurs after translaryngeal intubation results to re-intubation in a number of patients.
OBJECTIVE
To determine the cut-off value of the cuff leak volume test among Thai patients as a predictor for post-extubation stridor
MATERIAL AND METHOD
Demographic data and cuff leak volume were collected from patients who had been intubated with planned extubation. Clinical stridor was observed and identified after extubation.
RESULTS
Among 115 patients, the cuff leak volume of less than 114 ml was used to predict post-extubation stridor with the sensitivity of 89%, specificity of 90%, positive predictive value of 65%, and negative predictive value of 98%, respectively. Among the stridor group, 12 of 19 cases (63.2%) needed re-intubation.
CONCLUSION
The cuff leak volume of less than 114 ml can be used as a clinical predictor for identifying post-extubation stridor
背景
经喉插管后，许多患者会发生拔管后喘鸣，这会导致再次插管。
目的
确定泰国患者中袖带漏气量测试的临界值，作为拔管后喘鸣的预测指标。
材料与方法
收集计划拔管的插管患者的人口统计学数据和袖带漏气量。拔管后观察并确定临床喘鸣情况。
结果
在115例患者中，袖带漏气量小于114 ml用于预测拔管后喘鸣，其敏感性为89%，特异性为90%，阳性预测值为65%，阴性预测值为98%。在喘鸣组中，19例中有12例（63.2%）需要再次插管。
结论
袖带漏气量小于114 ml可作为识别拔管后喘鸣的临床预测指标。
Zotero 插件