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经气管插管持续气道正压通气在拔管前的短暂试验是否会增加早产儿的呼吸功？

Does a brief trial of endotracheal CPAP before extubation increase the work of breathing in preterm infants?

机构信息

Department of Paediatrics, School of Medicine, University of Patras, Patras, Greece.

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.

出版信息

Early Hum Dev. 2021 Jun;157:105368. doi: 10.1016/j.earlhumdev.2021.105368. Epub 2021 Apr 14.

DOI:10.1016/j.earlhumdev.2021.105368
PMID:33873013
Abstract

A brief period of endotracheal continuous positive airway pressure (ETT-CPAP) can predict extubation outcome but longer periods are associated with increased work of breathing and extubation failure. In ventilated preterm infants, brief ETT-CPAP does not increase the work of breathing and can be used to predict the outcome of extubation.

摘要

短时间的经气管持续气道正压通气（ETT-CPAP）可以预测拔管结局，但较长时间的 ETT-CPAP 与呼吸功增加和拔管失败相关。在接受通气的早产儿中，短时间的 ETT-CPAP 不会增加呼吸功，可用于预测拔管结局。

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引用本文的文献

1
Accuracy of the spontaneous breathing trial using a combined CPAP + PSV model to predict extubation outcomes in very preterm infants.应用 CPAP+PSV 联合模型预测极早产儿撤机结局的自主呼吸试验的准确性。
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