DeJonge M H, White M
Department of Pediatrics, William Beaumont Hospital, Royal Oak, MI 48073, USA.
J Perinatol. 1998 Nov-Dec;18(6 Pt 1):463-5.
To determine if an endotracheal tube stabilization method using an umbilical clamp reduces accidental extubations when compared with a more traditional method of endotracheal tube stabilization.
From January 1, 1994 through April 30, 1997, the frequency of accidental extubations per 100 ventilator days was tracked for the Neonatal Intensive Care Unit (NICU) Quality Assurance Committee of William Beaumont Hospital (Royal Oak, MI). From January 1, 1994 through December 31, 1995, all endotracheal tubes were stabilized using a traditional taping method. From March 1, 1996 through April 30, 1997, the endotracheal tubes were stabilized using a modified umbilical clamp and tape. The incidence of extubation using each stabilization method was compared by chi2 analysis.
The umbilical clamp resulted in a significantly lower (p=0.001) rate of accidental extubations.
The umbilical clamp taping method appears to have lowered the incidence of accidental extubation in our NICU when compared with a standard method of oral endotracheal tube stabilization.
与更传统的气管内导管固定方法相比，确定使用脐带夹的气管内导管固定方法是否能减少意外拔管情况。
1994年1月1日至1997年4月30日，为威廉·博蒙特医院（密歇根州皇家橡树）新生儿重症监护病房质量保证委员会追踪每100个呼吸机日的意外拔管频率。1994年1月1日至1995年12月31日，所有气管内导管均采用传统的胶带固定方法。1996年3月1日至1997年4月30日，气管内导管采用改良的脐带夹和胶带固定。通过卡方分析比较每种固定方法的拔管发生率。
脐带夹导致意外拔管率显著降低（p = 0.001）。
与标准的经口气管内导管固定方法相比，脐带夹胶带固定方法似乎降低了我们新生儿重症监护病房的意外拔管发生率。
