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本文引用的文献

1
A prolonged observational study of tracheal tube displacements: Benchmarking an incidence <0.5-1% in a medical-surgical adult intensive care unit.气管导管移位的长期观察性研究：以外科重症监护病房中发病率<0.5-1%为基准
Indian J Crit Care Med. 2014 May;18(5):273-7. doi: 10.4103/0972-5229.132466.
2
Impact of humidification systems on ventilator-associated pneumonia: a randomized multicenter trial.加湿系统对呼吸机相关性肺炎的影响：一项随机多中心试验。
Am J Respir Crit Care Med. 2005 Nov 15;172(10):1276-82. doi: 10.1164/rccm.200408-1028OC. Epub 2005 Aug 26.
3
TRACHEOSTOMY: PRESENT DAY INDICATIONS AND TECHNICS.
Am J Surg. 1963 Aug;106:290-306. doi: 10.1016/0002-9610(63)90018-7.
4
Complications of tracheostomy.气管切开术的并发症
Arch Surg. 1962 Jul;85:56-63. doi: 10.1001/archsurg.1962.01310010060008.
5
Tracheotomy--its complications and their management. A study of 212 cases.气管切开术——其并发症及其处理。212例病例研究。
N Engl J Med. 1961 Sep 14;265:519-23. doi: 10.1056/NEJM196109142651103.
6
Randomized clinical trial of extended use of a hydrophobic condenser humidifier: 1 vs. 7 days.疏水性冷凝湿化器延长使用时间的随机临床试验：1天与7天对比
Crit Care Med. 2002 Jan;30(1):232-7. doi: 10.1097/00003246-200201000-00033.
7
Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine.撤机和停止通气支持的循证指南：由美国胸科医师学会、美国呼吸治疗协会和美国危重病医学会共同组织的特别工作组制定。
Chest. 2001 Dec;120(6 Suppl):375S-95S. doi: 10.1378/chest.120.6_suppl.375s.
8
Effect of unplanned extubation on outcome of mechanical ventilation.非计划拔管对机械通气结局的影响。
Am J Respir Crit Care Med. 2000 Jun;161(6):1912-6. doi: 10.1164/ajrccm.161.6.9908068.
9
Safety, efficacy, and cost-effectiveness of mechanical ventilation with humidifying filters changed every 48 hours: a prospective, randomized study.每48小时更换加湿过滤器的机械通气的安全性、有效性和成本效益：一项前瞻性随机研究。
Crit Care Med. 2000 Mar;28(3):665-71. doi: 10.1097/00003246-200003000-00011.
10
Airway accidents in intubated intensive care unit patients: an epidemiological study.气管插管重症监护病房患者的气道意外：一项流行病学研究。
Crit Care Med. 2000 Mar;28(3):659-64. doi: 10.1097/00003246-200003000-00010.

重症监护病房的气道事故：印度东部一所公立教学医院的3年回顾性研究。

Airway accidents in critical care unit: A 3-year retrospective study in a Public Teaching Hospital of Eastern India.

作者信息

Dasgupta Sugata, Singh Shipti Shradha, Chaudhuri Arunima, Bhattacharya Dipasri, Choudhury Sourav Das

机构信息

Department of Anesthesiology and Critical Care Medicine, RG Kar Medical College and Hospital, Kolkata, West Bengal, India.

Department of Physiology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India.

出版信息

Indian J Crit Care Med. 2016 Feb;20(2):91-6. doi: 10.4103/0972-5229.175946.

DOI:10.4103/0972-5229.175946
PMID:27076709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4810939/
Abstract

BACKGROUND

Although tracheal tubes are essential devices to control and protect airway in a critical care unit (CCU), they are not free from complications.

AIMS

To document the incidence and nature of airway accidents in the CCU of a government teaching hospital in Eastern India.

METHODS

Retrospective analysis of all airway accidents in a 5-bedded (medical and surgical) CCU. The number, types, timing, and severity of airway accidents were analyzed.

RESULTS

The total accident rate was 19 in 233 intubated and/or tracheostomized patients over 1657 tube days (TDs) during 3 years. Fourteen occurred in 232 endotracheally intubated patients over 1075 endotracheal tube (ETT) days, and five occurred in 44 tracheostomized patients over 580 tracheostomy TDs. Fifteen accidents were due to blocked tubes. Rest four were unplanned extubations (UEs), all being accidental extubations. All blockages occurred during night shifts and all UEs during day shifts. Five accidents were mild, the rest moderate. No major accident led to cardiorespiratory arrest or death. All blockages occurred after 7(th) day of intubation. The outcome of accidents were more favorable in tracheostomy group compared to ETT group (P = 0.001).

CONCLUSIONS

The prevalence of airway accidents was 8.2 accidents per 100 patients. Blockages were the most common accidents followed by UEs. Ten out of the 15 blockages and all 4 UEs were in endotracheally intubated patients. Tracheostomized patients had 5 blockages and no UEs.

摘要

背景

尽管气管导管是重症监护病房（CCU）控制和保护气道的重要设备，但它们并非没有并发症。

目的

记录印度东部一家政府教学医院CCU气道事故的发生率和性质。

方法

对一个有5张床位（内科和外科）的CCU中的所有气道事故进行回顾性分析。分析气道事故的数量、类型、发生时间和严重程度。

结果

在3年期间，233例插管和/或气管切开患者在1657个导管日（TDs）内共发生19起事故。14起发生在232例气管插管患者的1075个气管内导管（ETT）日，5起发生在44例气管切开患者的580个气管切开TDs。15起事故是由于导管堵塞。其余4起是意外拔管（UEs），均为意外脱管。所有堵塞均发生在夜班期间，所有UEs均发生在白班期间。5起事故为轻度，其余为中度。没有重大事故导致心肺骤停或死亡。所有堵塞均发生在插管后第7天之后。与ETT组相比，气管切开组事故的结局更有利（P = 0.001）。

结论

气道事故的发生率为每100例患者8.2起。堵塞是最常见的事故，其次是UEs。15起堵塞中有10起以及所有4起UEs发生在气管插管患者中。气管切开患者有5起堵塞，没有UEs。