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題 名 | 一位利用每分鐘通氣量恢復時間預測呼吸器脫離之經驗=Using Minute Ventilation Recovery Time to Predict Time of Weaning from Mechanical Ventilator: A Case Report |
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作 者 | 李承馨; 楊式興; 林英芬; 張嘉凌; 李宜純; 許重梅; | 書刊名 | 呼吸治療雜誌 |
卷 期 | 14:1 2015.01[民104.01] |
頁 次 | 頁31-39 |
分類號 | 415.41 |
關鍵詞 | 呼吸器脫離; 慢性阻塞性肺疾病急性惡化; 每分鐘通氣量恢復時間; Discontinuation of ventilator; Acute exacerbation of COPD; Minute ventilation recovery time; |
語 文 | 中文(Chinese) |
中文摘要 | 呼吸器脫離是急性呼吸衰竭使用呼吸器的病人很重要之議題,慢性阻塞性肺疾病病人之急性惡化多由感染所導致,亦是造成臨床上呼吸器脫離過程延長的原因之一。本文藉由臨床呼吸照護經驗,就慢性阻塞性肺疾病急性惡化(Chronic obstructive pulmonary disease acute exacerbation ;COPDAE)的病人,探討利用每分鐘通氣量恢復時間(Minute ventilation recovery time; MVRT)之呼吸器脫離新指標,進行預測呼吸器脫離與拔除人工氣管插管之時機。MVRT是一種在T型管自然呼吸試驗下,一系列測量每分鐘通氣量的分析,其原始方法如下:(1)在T型管訓練前24小時中所測量到的穩定最低值;(2)以此點作為基準值接回呼吸器;(3)計算回到基準值之110%所花時間;(4)若時間小於15分鐘,便可預測此病人能成功脫離呼吸器。此經驗以提供呼吸治療師對於COPDAE選用最適合的呼吸器脫離時機與訓練之參考。 |
英文摘要 | Successful discontinuation of mechanical ventilator is a critical issue on patient using ventilator due to acute respiratory failure. Infection is the most common cause of an acute exacerbation of chronic obstructive pulmonary disease (COPDAE), which often leads a prolonged ventilator weaning. By using minute ventilation recovery time (MVRT) as an indicator, we tried to predict the best timing for weaning from mechanical ventilator and extubation on a patient with COPDAE. MVRT is defined as the time required for minute ventilation to return to baseline following a successful spontaneous breathing trial. The method we used included the following steps: (1) defining the baseline of minute ventilation by using the lowest value retrieved during the prior 24 hours, (2) using a T-tube to perform the spontaneous breathing trial, and (3) measuring the time of minute ventilation returning to 110% of the baseline. If the time is less than 15 minutes, a successful discontinuation of mechanical ventilator could be expected. We provide our experience of using MVRT as an indicator for prediction of successful weaning from ventilator on a COPDAE case. |
本系統中英文摘要資訊取自各篇刊載內容。