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95 例成人经口气管插管三种固定方法的比较。

Comparison of three fixation methods for orotracheal intubation in 95 adults.

机构信息

Emergency Department of China-Japan Friendship Hospital, No.2 of Yinghua East Street, Chaoyang District, Bejing, 100029, China.

出版信息

Eur J Med Res. 2020 Oct 2;25(1):45. doi: 10.1186/s40001-020-00446-x.

DOI:10.1186/s40001-020-00446-x
PMID:33008485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7532601/
Abstract

BACKGROUND

The present study aimed to compare three fixation methods for orotracheal intubation.

METHODS

Through literature retrieval, the effects of the adhesive/twill tape method, fixator method, and adhesive/twill tape-fixator alternation method on patients with tracheal intubation in the intensive care unit (ICU) were compared.

RESULTS

The fixator and alternation methods were more effective in protecting the tongue mucosa and teeth. The alternation method was superior to the other two methods in maintaining the position of the endotracheal intubation. However, the difference in facial and lip injuries between the three methods was not statistically significant.

CONCLUSION

The fixator method can significantly reduce intraoral injury and is more suitable for older people with weak tongue mucosa and loose teeth. These are worth popularizing among a wider group.

摘要

背景

本研究旨在比较三种经口气管插管固定方法。

方法

通过文献检索,比较了粘性/斜纹胶带法、固定器法和粘性/斜纹胶带-固定器交替法对 ICU 气管插管患者的影响。

结果

固定器法和交替法在保护舌黏膜和牙齿方面更有效。交替法在维持气管插管位置方面优于其他两种方法。然而,三种方法对面部和唇部损伤的差异无统计学意义。

结论

固定器法可显著减少口腔内损伤,更适合舌黏膜较弱、牙齿松动的老年人。这些方法值得更广泛地推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/aca221613b25/40001_2020_446_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/1c5c36a3023e/40001_2020_446_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/83afcab95089/40001_2020_446_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/812308498058/40001_2020_446_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/a88bf6509520/40001_2020_446_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/973123f8c024/40001_2020_446_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/aca221613b25/40001_2020_446_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/1c5c36a3023e/40001_2020_446_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/83afcab95089/40001_2020_446_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/812308498058/40001_2020_446_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/a88bf6509520/40001_2020_446_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/973123f8c024/40001_2020_446_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cf8/7532601/aca221613b25/40001_2020_446_Fig6_HTML.jpg

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本文引用的文献

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Guidelines for the management of tracheal intubation in critically ill adults.《成人危重症患者气管插管管理指南》
Br J Anaesth. 2018 Feb;120(2):323-352. doi: 10.1016/j.bja.2017.10.021. Epub 2017 Nov 26.
2
[Evaluation of the effect of a new fixation tape for tracheal catheter in intensive care patients].[新型气管导管固定带在重症监护患者中的效果评估]
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 Sep;29(9):836-839. doi: 10.3760/cma.j.issn.2095-4352.2017.09.014.
3
Inappropriate fixation of an endotracheal tube causing cuff malfunction resulting in difficult extubation.
气管内导管固定不当导致套囊故障,造成拔管困难。
Braz J Anesthesiol. 2016 Sep-Oct;66(5):536-8. doi: 10.1016/j.bjane.2013.04.009. Epub 2013 Oct 26.
4
Factors Associated with Adverse Events during Tracheal Intubation in the NICU.新生儿重症监护病房气管插管期间不良事件的相关因素
Neonatology. 2015;108(1):23-9. doi: 10.1159/000381252. Epub 2015 May 6.
5
Intracranial violation by nasotracheal suction catheter in a patient with a history of transsphenoidal surgery.一名有经蝶窦手术史的患者,鼻气管吸引导管导致颅内侵犯。
A A Case Rep. 2014 Oct 1;3(7):91-3. doi: 10.1213/XAA.0000000000000071.
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Update in acute lung injury and mechanical ventilation 2013.2013年急性肺损伤与机械通气的进展
Am J Respir Crit Care Med. 2014 May 15;189(10):1187-93. doi: 10.1164/rccm.201402-0262UP.
7
Comparison of commercial and noncommercial endotracheal tube-securing devices.商用与非商用气管导管固定装置的比较
Respir Care. 2014 Sep;59(9):1315-23. doi: 10.4187/respcare.02951. Epub 2013 Dec 24.
8
Tracheal intubation in the critically ill: a multi-centre national study of practice and complications.危重症患者的气管插管:一项多中心全国性实践和并发症研究。
Br J Anaesth. 2012 May;108(5):792-9. doi: 10.1093/bja/aer504. Epub 2012 Feb 6.