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頁籤選單縮合
題 名 | 利用氣囊漏氣測試來預測拔管失敗的可能性=Use Cuff Leak Test to Predict of Extubation Failure |
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作 者 | 陳大勝; 蕭秀鳳; 黃崇旂; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 7:2 民94 |
頁 次 | 頁61-67 |
分類號 | 415.415 |
關鍵詞 | 氣囊漏氣測試; 喘鳴; 喉頭水腫; 再次插管; Postextubation stridor; Cuff leak test; Laryngeal edema; |
語 文 | 中文(Chinese) |
中文摘要 | 研究目的:利用氣囊漏氣測試(cuff leak test),評估使用呼吸器患者在拔管後上呼吸道阻塞狀況,進而推 可能產生拔管失敗的漏氣內積閥值。 研究設計:前瞻性臨床研究。 研究場所:醫學中心之內科重症加護病房。 研究方法:入院首次插管超過24小時患者,在符合脫離呼吸器及拔管條件下收入本次研究中,並在拔管前為每位收案患者做氣囊漏氣測試。另外患者若有自拔管(self extubation)、外傷或接受外科手術、意識不清楚等都將排除於本次研究之外。 研究結果:對135位收案患者進行分析,其中有37位(27.4%)拔管失敗而需再次插管。拔管失敗患者中有32位(86.4%)於拔管後發生喘嗚(stridor)情形,其中女性在這方面的併發機率較高具有統計學上顯著差異(10位男性22位女性p=0.027)。我們選擇80毫升(ml)或24%為氣囊漏氣閥值,臨床上芽低於此閥值則有可能會拔管失敗而需再次插管。 結論:臨床上利用氣囊漏氣測試可以預先評估拔管後上呼吸道可能產生之阻塞情形,預防拔管失敗而需再次插管及其合併症,它可以視為拔管前簡單而準確的臨床評估指標。 |
英文摘要 | Study objective: Using cuff leak test to evaluate the effect of cuff leak volume and leakage percentage, for the prediction of the severity of postextubation upper airway obstruction extubation failure in medical intensive care unit patients. Design: Prospective, clinical investigation study. Setting: Teach hospital and medical intensive care unit. Patients: 135 consecutive patients of both sexes, who had been intubated for more than 24 hours and fulfilled the weaning criteria, were eligible for the study. Patient was excluding if they were self-extubation. Traumatic or surgical ICU patients were excluding also. Intervention: cuff leak test before each extubation. Result: A total of 135 patients were enrolled in this study. The incidence of postextubation failure was 27.4% (37/135). Among them, stridor was found in 32 patients (86.4, 32/37). Female patients were more likely to develop this complication (10 males 22 females p=0.027). we chose the thresholds of 80 ml and 24% quantify the cuff leak volume and leakage percentage, the sensitivity and specificity of the test were 62.2% and 99.8% respectively. The patients may developed extubation failure and need reintubation if the leakage volume and percentage lower than the threshold value. Conclusion: Cuff leak volume (80 ml or 24%) around the endotracheal tube before extubation was a useful guide in identifying patients who are at risk for post extubation failure and need reintubation. |
本系統中英文摘要資訊取自各篇刊載內容。