Gilbert R W, Bryce D P, McIlwain J C, Ross I R
Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Ontario, Canada.
Ann Otol Rhinol Laryngol. 1987 Sep-Oct;96(5):561-4. doi: 10.1177/000348948709600516.
The purpose of this study was to develop a management protocol for patients with long-term tracheotomies and aspiration, in order to develop clinical criteria for extubation and reduction of aspiration-related complications. We studied 39 patients with tracheotomies in place for over 3 months, 28 of whom completed management. Patients were classified according to degree of impairment and managed with the aims of avoiding aspiration and performing extubation whenever feasible. Criteria for choosing various management strategies are presented.
本研究的目的是为长期气管切开和存在误吸的患者制定一种管理方案，以制定拔管的临床标准并减少与误吸相关的并发症。我们研究了39例气管切开超过3个月的患者，其中28例完成了管理。根据损伤程度对患者进行分类，并以避免误吸和在可行时进行拔管为目标进行管理。文中给出了选择各种管理策略的标准。
