一个

E. Jaszczyszyn
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引用次数: 0

摘要

每天有成千上万的病人接受气管插管。插管是通过将一根小塑料管插入病人的气管来实现的,这样氧气和麻醉剂就可以直接输送到肺部。气管末端有一个袖口,通过充气来固定气管,袖口也起到密封气管的作用。使用压力计来测量袖带内的压力是保证练习安全必不可少的。袖带的过度膨胀会对气管施加过大的压力,导致组织死亡和术后患者不适。充气不足的袖带会导致患者气道密封不良,并可能导致无效的正压通气或胃膨胀,进而导致呕吐,使患者处于窒息的危险之中。后一种并发症可引起缺氧和死亡。用于测量袖带压力的压力计价格昂贵,体积庞大,而且可能不准确。一种压力测量注射器已经设计、测试和验证,以满足医生对简单、低成本压力测量设备的需求。新的数据表明,过度膨胀的袖口在手术中很常见(cid:1) 2009,摘要3AP1-1,发表于意大利米兰的欧洲麻醉学会(cid:2)。事实上,大多数人被充气到比推荐的25厘米大气压高,过去对重症监护患者的研究证实了这些观察结果(cid:1)。Jaber, S.等,2007,“气管内管袖口压力重症监护:对压力重症医学的需求”,33页,917-918 (cid:2)。压力感应装置,给医生一个工具,以帮助避免过度和不足的气管内膨胀
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Endotracheal intubations are performed on thousands of pa- tients each day. Intubation is achieved by inserting a small plastic tube down a patient’s trachea, allowing oxygen and anesthetics to be delivered directly to the lungs. The tube is held in place by inflating a small cuff on the distal tip, which also serves to seal the trachea. The use of a manometer to measure the pressure within the cuff is essential to keep the practice safe. Hyperinflation of the cuff can put too much pressure on the trachea, leading to tissue death and post-procedure patient discomfort. A hypo-inflated cuff results in a poor seal within the patient’s airway and can lead to ineffective positive pressure ventilation, or gastro-inflation, which can in turn lead to vomiting, putting the patient at risk for as-phyxiation. The latter complication can cause hypoxia and death. Manometers used to measure cuff pressure are costly, cumber-some, and potentially inaccurate. A pressure measuring syringe has been designed, tested, and verified to meet physicians’ needs for a simple, low-cost pressure measurement device. New data suggest that overblown cuffs are very common during surgery (cid:1) 2009, Abstract 3AP1-1, presented at the European Society of Anaesthesiology, Milan, Italy (cid:2) . In fact, most are inflated to a pressure than the recommended 25 cm H 2 O, and past studies on patients in critical care settings corroborate these observations (cid:1) Jaber, S., et al., 2007, “Endotracheal Tube Cuff Pressure Intensive Care The Need for Pressure Intensive Med., 3 3 pp. 917–918 (cid:2) . pressure-sensing device that gives physicians a tool to help avoid over- and underinflation of the endotracheal
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