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何时对喉炎患者进行拔管:“漏气”试验。

When to extubate the croup patient: the "leak" test.

作者信息

Adderley R J, Mullins G C

出版信息

Can J Anaesth. 1987 May;34(3 ( Pt 1)):304-6. doi: 10.1007/BF03015171.

DOI:10.1007/BF03015171
PMID:3581402
Abstract

The reliability of "leak" as a criterion for elective extubation of children with croup treated with nasotracheal intubation was studied during the three month "croup epidemic" in Ontario of September 1, 1983 to November 30, 1983. Twenty-eight patients experienced 36 extubations; 31 planned and five accidental. Three of 23 (13 per cent) planned extubations with "leak" required reintubation whereas three of eight (38 per cent) children electively extubated after seven days of intubation without "leak" required reintubation. "Leak" is a helpful but not absolute prognostic indicator of a successful extubation.

摘要

1983年9月1日至1983年11月30日安大略省为期三个月的“哮吼流行期”期间,对以“漏气”作为经鼻气管插管治疗的哮吼患儿择期拔管标准的可靠性进行了研究。28例患者经历了36次拔管;31次为计划拔管,5次为意外拔管。23例(13%)有“漏气”情况的计划拔管中有3例需要重新插管,而8例插管7天后无“漏气”情况而择期拔管的患儿中有3例(38%)需要重新插管。“漏气”是拔管成功的一个有用但非绝对的预后指标。

相似文献

1
When to extubate the croup patient: the "leak" test.何时对喉炎患者进行拔管:“漏气”试验。
Can J Anaesth. 1987 May;34(3 ( Pt 1)):304-6. doi: 10.1007/BF03015171.
2
Steroids in croup: do they increase the incidence of successful extubation?治疗哮吼时使用类固醇:它们会增加成功拔管的发生率吗?
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[Nasotracheal intubation and tracheotomy in the treatment of severe forms of croup in children].[经鼻气管插管和气管切开术治疗儿童重症喉炎]
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6
Nasotracheal intubation in acute laryngotracheobronchitis.
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Comment on nasotracheal intubation and croup.关于鼻气管插管和喉炎的评论。
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Factors influencing the presence of a leak around an endotracheal tube in patients with croup.影响喉炎患者气管内插管周围漏气情况的因素。
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Increased need for tracheal intubation for croup in relation to bacterial tracheitis.与细菌性气管炎相关的喉炎气管插管需求增加。
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Prolonged nasotracheal intubation or tracheostomy in acute laryngotracheobronchitis and epiglottitis?在急性喉气管支气管炎和会厌炎中延长鼻气管插管或气管切开术?
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The Cuff Leak Test: A New Appraisal of an Old Technique. Who Benefits?套囊漏气试验:一项对古老技术的新评估。谁能从中受益?
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Tests and Indices Predicting Extubation Failure in Children: A Systematic Review and Meta-analysis.预测儿童拔管失败的测试和指标:系统评价与荟萃分析
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本文引用的文献

1
Secondary airway support in the management of croup.
J Otolaryngol. 1980 Oct;9(5):419-22.
2
Assessment of intubation in croup and epiglottitis.
Ann Otol Rhinol Laryngol. 1982 Jul-Aug;91(4 Pt 1):403-6. doi: 10.1177/000348948209100417.
3
Diagnosis and management of acute epiglottitis -- report of 90 consecutive cases.急性会厌炎的诊断与治疗——90例连续病例报告
Laryngoscope. 1980 May;90(5 Pt 1):822-5.
4
电视辅助胸腔镜手术中菱形肌间阻滞的评估:比较三种浓度的罗哌卡因
Front Pharmacol. 2022 Jan 17;12:774859. doi: 10.3389/fphar.2021.774859. eCollection 2021.
4
Performance of the cuff leak test in adults in predicting post-extubation airway complications: a systematic review and meta-analysis.成人气囊漏气试验预测拔管后气道并发症的性能:系统评价和荟萃分析。
Crit Care. 2020 Nov 7;24(1):640. doi: 10.1186/s13054-020-03358-8.
5
Cuff leak test and laryngeal survey for predicting post-extubation stridor.用于预测拔管后喘鸣的套囊漏气试验和喉镜检查
Indian J Anaesth. 2015 Feb;59(2):96-102. doi: 10.4103/0019-5049.151371.
6
Extubation failure in intensive care unit: predictors and management.重症监护病房中的拔管失败:预测因素与管理
Indian J Crit Care Med. 2008 Jan;12(1):1-9. doi: 10.4103/0972-5229.40942.
7
Cuff-leak test for the diagnosis of upper airway obstruction in adults: a systematic review and meta-analysis.
Intensive Care Med. 2009 Jul;35(7):1171-9. doi: 10.1007/s00134-009-1501-9. Epub 2009 Apr 28.
8
Weaning and extubation readiness in pediatric patients.儿科患者的撤机和拔管准备情况。
Pediatr Crit Care Med. 2009 Jan;10(1):1-11. doi: 10.1097/PCC.0b013e318193724d.
9
The endotracheal tube air leak test does not predict extubation outcome in critically ill pediatric patients.气管内导管漏气试验不能预测危重症儿科患者的拔管结局。
Pediatr Crit Care Med. 2008 Sep;9(5):490-6. doi: 10.1097/PCC.0b013e3181849901.
10
The cuff-leak test: what are we measuring?气囊漏气试验:我们在测量什么?
Crit Care. 2005 Feb;9(1):31-3. doi: 10.1186/cc3031. Epub 2004 Dec 17.
Infections associated with upper airway obstructive findings.
与上气道阻塞表现相关的感染。
Pediatr Infect Dis. 1983 May-Jun;2(3 Suppl):S33-6.
5
Acute epiglottitis: current management.急性会厌炎:当前的治疗方法
Laryngoscope. 1983 Apr;93(4):489-93. doi: 10.1002/lary.1983.93.4.489.
6
Croup: an 11-year study in a pediatric practice.哮吼:在一家儿科诊所进行的为期11年的研究。
Pediatrics. 1983 Jun;71(6):871-6.