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使用移动终端应用程序测量气管导管套囊压力。

A mobile terminal application program was used for endotracheal tube cuff pressure measurement.

机构信息

Department of General Intensive Care Unit, Shaoxing People's Hospital, Zhongxing North Road, Shaoxing, 312000, Zhejiang, China.

Nursing Department, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.

出版信息

J Clin Monit Comput. 2021 May;35(3):463-468. doi: 10.1007/s10877-020-00499-7. Epub 2020 Mar 18.

Abstract

We studied the application of a mobile terminal application program in endotracheal tube (ETT) cuff pressure measurement to improve the implementation rate of scientific ETT cuff pressure measurement and to ensure that the pressure falls within the recommended range. A pre-post controlled study lasting for 18 months was undertaken in a 40-bed general intensive care unit (GICU). This included a 6-month baseline period (baseline group) and a 6-month intervention period (intervention group). The mobile terminal application program was applied to monitor the cuff pressure of endotracheal intubation as an intervention measure during the intervention period. ETT pressure was the main outcome measure, while gender, age, causes for ICU admission, sedation score, duration of prior intubation, size of ETT, and number of VAP patients were secondary outcomes. ETT cuff pressure was monitored 742 times in both the baseline group and the intervention group. A total of 56.9% of the cuff pressure measurements in the baseline group were within the recommended range, while 78.4% of measurements in the intervention group were within the recommended range, reflecting a statistically significant difference (P < 0.05). The application of the mobile terminal application program used for ETT cuff pressure measurement could improve the percentage of ETT cuff pressure measurements falling within the recommended range.

摘要

我们研究了移动终端应用程序在气管内导管(ETT)套囊压力测量中的应用,以提高科学 ETT 套囊压力测量的实施率,并确保压力处于推荐范围内。在一个 40 张床位的综合重症监护病房(GICU)中进行了为期 18 个月的前后对照研究。该研究包括 6 个月的基线期(基线组)和 6 个月的干预期(干预组)。在干预期间,移动终端应用程序被应用于监测气管插管的套囊压力,作为干预措施。ETT 压力是主要的观察指标,而性别、年龄、入住 ICU 的原因、镇静评分、先前插管的持续时间、ETT 的大小和 VAP 患者的数量是次要观察指标。在基线组和干预组中,共监测了 ETT 套囊压力 742 次。基线组中,有 56.9%的套囊压力测量值在推荐范围内,而干预组中,有 78.4%的测量值在推荐范围内,这表明存在统计学上的显著差异(P<0.05)。应用移动终端应用程序进行 ETT 套囊压力测量可以提高 ETT 套囊压力测量值在推荐范围内的百分比。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d3/7224015/99c6f072030f/10877_2020_499_Fig1_HTML.jpg

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