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测量气管内导管套囊压力：切勿自满。

Measuring endotracheal tube intracuff pressure: no room for complacency.

机构信息

Department of Anaesthesia, Khoo Teck Puat Hospital, Yishun Central 90, Yishun, 768828, Singapore.

Department of Anaesthesia, OLV Hospital, Aalst, Belgium.

出版信息

J Clin Monit Comput. 2021 Feb;35(1):3-10. doi: 10.1007/s10877-020-00501-2. Epub 2020 Mar 20.

DOI:10.1007/s10877-020-00501-2
PMID:32198671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7223496/
Abstract

Tracheal intubation constitutes a routine part in the care of critically ill and anaesthetised patients. Prolonged use of endotracheal with inflated cuff is one of the major multifactorial causes of complications. Both under-inflation and over-inflation of cuff are associated with complications. Despite known problems, regular measurement of cuff pressure is not routine, and it is performed on an ad hoc basis.

摘要

气管插管是危重病患者和麻醉患者护理的常规部分。长时间使用带充气套囊的气管插管是导致并发症的主要多因素原因之一。套囊充气不足和充气过度都与并发症有关。尽管存在已知问题，但定期测量套囊压力不是常规操作，而是根据需要进行的。

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本文引用的文献

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Comparison of tracheal tube cuff pressure with two technique: fixed volume and minimal leak test techniques.两种技术（固定容积技术和最小漏气量测试技术）下气管导管套囊压力的比较。
J Cardiovasc Thorac Res. 2019;11(1):48-52. doi: 10.15171/jcvtr.2019.08. Epub 2019 Mar 13.
2
Post-intubation tracheal laceration.插管后气管撕裂伤。
Intensive Care Med. 2019 Apr;45(4):521-522. doi: 10.1007/s00134-018-5450-z. Epub 2018 Nov 12.
3
Airway management in critical illness: practice implications of new Difficult Airway Society guidelines.危重症中的气道管理：困难气道协会新指南的实践意义
Anaesthesia. 2018 May;73(5):544-548. doi: 10.1111/anae.14270. Epub 2018 Mar 25.
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Can J Anaesth. 2018 Aug;65(8):956-957. doi: 10.1007/s12630-018-1107-1. Epub 2018 Mar 22.
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Anesthesiol Res Pract. 2017;2017:2032748. doi: 10.1155/2017/2032748. Epub 2017 Dec 31.
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