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机械通气成人患者气管内导管套囊压力的变化。

Changes in endotracheal tube cuff pressure in mechanically ventilated adult patients.

机构信息

The University of Tokushima Graduate School, 2-50-1 Kuramotocho, 770-8503 Tokushima, Tokushima Prefecture, Japan.

Critical Care Medicine, Kobe University Hospital, 1-1 Rokkodaicho, Nada Ward, Kobe, Hyogo Prefecture, 657-0013 Japan.

出版信息

J Intensive Care. 2014 Jan 31;2(1):7. doi: 10.1186/2052-0492-2-7. eCollection 2014.

DOI:10.1186/2052-0492-2-7
PMID:25520824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4267542/
Abstract

During mechanical ventilation, endotracheal tube cuff pressure should be maintained within proper range. We investigated the effect of frequent adjustment on cuff pressure in 27 mechanically ventilated patients. Cuff pressure was recorded every 2 h and was adjusted to 24 cmH2O each time. We found that cuff pressure was decreased by 4.9 ± 2.9 cmH2O from the target value. Cuff pressure decreased to less than 20 cmH2O in 45% of measurement occasions 2 h after adjusting it to 24 cmH2O.

摘要

在机械通气过程中,应将气管内导管套囊压力维持在适当范围。我们研究了 27 例机械通气患者频繁调整套囊压力对其的影响。每 2 h 记录一次套囊压力,并每次将其调整至 24 cmH2O。我们发现,套囊压力从目标值下降了 4.9 ± 2.9 cmH2O。将套囊压力调整至 24 cmH2O 2 h 后,有 45%的测量时机其压力降至 20 cmH2O 以下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26a4/4267542/12a39092488b/40560_2013_17_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26a4/4267542/12a39092488b/40560_2013_17_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26a4/4267542/12a39092488b/40560_2013_17_Fig1_HTML.jpg

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本文引用的文献

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Am J Respir Crit Care Med. 2011 Nov 1;184(9):1041-7. doi: 10.1164/rccm.201104-0630OC.
2
Evaluation of an intervention to maintain endotracheal tube cuff pressure within therapeutic range.维持气管导管套囊压力在治疗范围内的干预措施评估。
Am J Crit Care. 2011 Mar;20(2):109-17; quiz 118. doi: 10.4037/ajcc2011661.
3
Variations in endotracheal cuff pressure in intubated critically ill patients: prevalence and risk factors.
Front Vet Sci. 2020 Feb 6;7:39. doi: 10.3389/fvets.2020.00039. eCollection 2020.
4
Comparison of tracheal tube cuff pressure with two techniques: fixed volume versus pilot balloon palpation.两种技术测量气管导管套囊压力的比较:定容法与手触指示球囊法
J Cardiovasc Thorac Res. 2017;9(4):196-199. doi: 10.15171/jcvtr.2017.34. Epub 2017 Oct 13.
5
Decrease in cuff pressure during the measurement procedure: an experimental study.测量过程中袖带压力下降:一项实验研究。
J Intensive Care. 2014 Jun 2;2(1):34. doi: 10.1186/2052-0492-2-34. eCollection 2014.
重症监护病房插管患者气管内套管压力的变化:患病率及危险因素
Eur J Anaesthesiol. 2009 Mar;26(3):229-34. doi: 10.1097/eja.0b013e3283222b6e.
4
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Anesthesiology. 2009 Mar;110(3):673-80. doi: 10.1097/ALN.0b013e31819868e0.
5
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