经口气管插管瓣膜在医学复杂婴儿和儿童中的耐受性：是否存在成功的预测因素？

Passy muir valve tolerance in medically complex infants and children: Are there predictors for success?

机构信息

Children's Healthcare of Atlanta, Emory School of Medicine, Atlanta, Georgia, U.S.A.

Department of Pediatrics, Pediatric Biostatistics Core, Emory School of Medicine, Atlanta, Georgia, U.S.A.

出版信息

Laryngoscope. 2020 Nov;130(11):E632-E639. doi: 10.1002/lary.28440. Epub 2019 Dec 11.

DOI:10.1002/lary.28440

PMID:31825087

Abstract

OBJECTIVE

The aim of this study was to investigate if there are predictors for success with Passy Muir Valve (PMV) placement for medically complex pediatric patients.

METHODS

Retrospective chart review of 52 pediatric patients with a tracheostomy with or without ventilator dependence who received PMV assessments from October 2017 through October 2018 in intensive care units and acute care units within Children's Healthcare of Atlanta (Atlanta, GA). Univariate analysis and logistic regression modeling were used to identify factors associated with a successful PMV trial.

RESULTS

Factors found to be associated with a successful PMV trial were as follows: transtracheal pressure measurement, presence of voicing, age of patient >2 years, weight of patient, and ventilator rate.

CONCLUSION

Medically complex infants and children in the intensive care units and acute care units on or off the ventilator can be considered candidates for PMV use; several factors can be predictive of a successful trial.

LEVEL OF EVIDENCE

2C Laryngoscope, 130:E632-E639, 2020.

摘要

目的

本研究旨在探讨对于存在医疗复杂性的儿科患者，经口气管切开并使用 Passy Muir 阀（PMV）治疗时，哪些因素可以预测治疗效果。

方法

回顾性分析了 2017 年 10 月至 2018 年 10 月期间在亚特兰大儿童保健中心（亚特兰大，佐治亚州）的重症监护病房和急性护理病房中接受 PMV 评估的 52 例存在或不存在呼吸机依赖的气管切开并存在医疗复杂性的儿科患者的病历。采用单因素分析和逻辑回归模型来确定与 PMV 试验成功相关的因素。