机械通气时人工呼吸道清理策略

被引:7
作者
左泽兰
许峰
机构
[1] 重庆医科大学附属儿童医院PICU
关键词
呼吸道清理; 机械通气; 策略;
D O I
暂无
中图分类号
R720.597 [儿科急症及处理];
学科分类号
100202 ;
摘要
熟练掌握小儿人工呼吸道的清理策略,对提高机械通气患儿的救治成功率具有非常重要的作用。作者结合国内外最新文献和临床经验,对人工呼吸道的湿化方法、预防上呼吸道和胃肠道细菌定植和误吸、预防导管阻塞、加强胸部物理疗法,预防肺不张发生、预防呼吸道黏膜损伤等进行了阐述。
引用
收藏
页码:1372 / 1373
页数:2
相关论文
共 11 条
[1]  
Oral decontamination with chlorhexidine reduces the incidence of ventilator-associated pneumonia. KOEMAN M,,VAN DER VENAJ A M,HAKE,et al. American Journal of Respiratory and Critical Care Medicine . 2006
[2]  
A comparison of two airway suctioning frequencies in mechanically ventilated, very-low-birthweight infants. Cordero L,Sananes M,Ayers LW,et al. Respiratory Care . 2001
[3]  
Devices used to humidify respired gases. Rathqeber J. Respir Care Clin NAm . 2006
[4]  
Airway clearance techniques for patient with an ar-tificial airway. Robert M,Lewis ND. Respiratory Care . 2002
[5]  
Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients:A randomised trial. Drakulovic MB,Torres A,Bauer TT,et al. The Lancet . 1999
[6]  
Reduced burden of bacterial airway co-lonization with a novel silver-coated endotracheal tube in a randomized multiple-center feasibility study. Rello J,Kollef M,Diaz E,et al. Critical Care Medicine . 2006
[7]  
Physiological responses to endotra-cheal and oral suctioning in paediatric patients:The influence of endotra-cheal tube sizes and suction pressures. Singh NC,Kissoon N,Frewen T,et al. Clinical Intensive Care . 1991
[8]  
AARC clinical practice guideline :Nasotracheal suctioning-2004 revi-sion&update. Respiratory Care . 2004
[9]  
Care of the ventila-tor circuit and its relation to ventilator-associated pneumonia. Hess DR,KallstromTJ,MottramCD,et al. Respiratory Care . 2003
[10]  
Evidence- Based clinical practice guideline for the prevention of ventilator-associated pneumonia. Dodek P,Keenan S,Cook D,et al. Annals of Internal Medicine . 2004