期刊文献+

神经重症患者脱机拔管:临床实践及结果预测研究进展

Offline extubation in critically ill neurological patients:research progress in clinical practice and outcome prediction
在线阅读 下载PDF
导出
摘要 神经重症(NCC)患者常合并呼吸衰竭,需要气管插管和机械通气以保护气道,维持氧合。由于神经系统病变的影响,这类患者拔管失败率较高,与其不良预后相关。但是对于NCC患者的脱机拔管,目前尚缺少权威指南和高质量证据的指导。本文介绍NCC患者气管插管和机械通气的指征,提供了本中心神经重症监护室(NICU)脱机拔管的一般流程,并整理了拔管结果预测因素相关研究和主要的预测模型。
作者 袁聪 叶相如 胡锦 YUAN Cong;YE Xiangru;HU Jin
出处 《中华神经外科疾病研究杂志》 2025年第2期126-132,共7页 Chinese Journal of Neurosurgical Disease Research
基金 上海申康医院发展中心市级医院诊疗技术推广及优化管理项目(SHDC22023224,SHDC22022210) 海南省院士创新平台基金(YSPTZX202033)。
  • 相关文献

参考文献2

二级参考文献10

  • 1Kolb G, Brfiker M. State of the art in aspiration assessment and the idea of a new non invasive predictive test for the risk of aspiration in stroke[ J]. J Nutri Heal Agi, 2009, 13 (5) :429- 433.
  • 2J Reed MJ, Dunn MJG, Mckeown DW. Can an airway assessment score predict difficulty at intubation in the emergency department? [ J]. Emergency Medicine J Emj, 2005, 22(2) :99-102.
  • 3Frerk C, Mitchell VS. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in aduks [ J ]. Briti J Anaesthesia, 2015 : 1-22.
  • 4Coffin SE, Klompas M, Classen D, et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals[ J]. Infect Control Hosp Epidemiol, 2008, 29 ( Suppl 1 ) : $31-40. DOI: 10. 1086/591062.
  • 5Shawna L, Striekland, Bruce K Rubin, et al. AARC Clinical Practice Guideline: Effectiveness of Pharmacologic Airway Clearance Therapies in Hospitalized Patients [ J ]. Respir Care, 2015, 60(7) :1071-1077.
  • 6Care AAFR. AARC Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010 [J]. Respir Care, 2010, 55(6) :758-764.
  • 7Marc L, Jacques A, Xavier V, et al. The effects of remifentanil on endotracheal suctioning-induced increases in intracranial pressure in head-injured patients [ J ]. Auesth Analg, 2004, 99 (4) :1193-1198.
  • 8Zeiler FA, Teitelbaum J, West M , et al. The ketamine effect on ICP in traumatic brain injury [ J]. Neurocrit Care, 2014 ,21 ( 1 ) : 163-173. DOI: 10. 1007/s12028-O13-9950-y.
  • 9Antoine M, Antoine G, Stephane L, et al. Aerosohzed hdocaine during invasive mechanical ventilation: in vitro characterization and clinical efficiency to prevent systemic and cerebral hemodynamic changes induced by endotracheal suctioning in head- injured patients [ J]. J Neur Anesthesiol, 2012, 25 ( 1 ) :5-16.
  • 10神经外科重症管理专家共识(2013版)[J].中华医学杂志,2013,93(23):1765-1779. 被引量:106

共引文献916

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部