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机械通气的重症监护病房气管切开患者嗓音恢复的益处与选择

Benefits and options for voice restoration in mechanically ventilated intensive care unit patients with a tracheostomy.

作者信息

Wallace Sarah, McGowan Sue, Sutt Anna-Liisa

机构信息

Department of Speech Voice and Swallowing, Wythenshawe Hospital, Manchester University NHS Foundation Trust, UK.

Manchester Academic Critical Care, Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, UK.

出版信息

J Intensive Care Soc. 2023 Feb;24(1):104-111. doi: 10.1177/17511437221113162. Epub 2022 Jul 10.

DOI:10.1177/17511437221113162
PMID:36874291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9975806/
Abstract

Communication difficulties and their effects on patients who are mechanically ventilated are commonly reported and well described. The possibility of restoring speech for patients has obvious benefits, not only for meeting patient's immediate needs, but for helping them to re-engage in relationships and participate meaningfully in their recovery and rehabilitation. This opinion piece by a group of United Kingdom (UK) based Speech and Language Therapy experts working in critical care describes the various ways by which a patient's own voice can be restored. Common barriers to using different techniques and potential solutions are explored. We therefore hope that this will encourage intensive care unit (ICU) multi-disciplinary teams to advocate and facilitate early verbal communication in these patients.

摘要

机械通气患者的沟通困难及其影响已被普遍报道且描述详尽。恢复患者言语能力具有显著益处,不仅能满足患者的即时需求,还能帮助他们重新建立人际关系,并积极参与康复过程。这篇由一群在英国重症监护领域工作的言语治疗专家撰写的观点文章,描述了恢复患者自身声音的各种方法。文中探讨了使用不同技术的常见障碍及潜在解决方案。因此,我们希望这将鼓励重症监护病房(ICU)的多学科团队倡导并促进这些患者尽早进行言语交流。

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J Intensive Care Soc. 2022 Nov;23(4):425-432. doi: 10.1177/17511437211034699. Epub 2021 Jul 20.
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Interventions to enable communication for adult patients requiring an artificial airway with or without mechanical ventilator support.成人患者人工气道(有或无机械通气支持)需求的沟通干预措施。
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Tracheostomy for COVID-19: evolving best practice.COVID-19 患者的气管切开术:最佳实践的演变。
Crit Care. 2021 Aug 31;25(1):316. doi: 10.1186/s13054-021-03674-7.
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Laryngeal complications after tracheal intubation and tracheostomy.气管插管和气管切开术后的喉部并发症。
BJA Educ. 2021 Jul;21(7):250-257. doi: 10.1016/j.bjae.2021.02.005. Epub 2021 Apr 21.
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Laryngeal complications of COVID-19.新型冠状病毒肺炎的喉部并发症
Laryngoscope Investig Otolaryngol. 2020 Oct 30;5(6):1117-1124. doi: 10.1002/lio2.484. eCollection 2020 Dec.
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