Supraglottic airway management is a method to establish effective artificial airway.In anatomic view,post-tongue factors are the main causes of upper airway obstruction during anesthesia.Recently available devices for...Supraglottic airway management is a method to establish effective artificial airway.In anatomic view,post-tongue factors are the main causes of upper airway obstruction during anesthesia.Recently available devices for supraglottic airway management were designed to maintain patent airway,facilitate artificial ventilation and avoid tracheal intubation.According to the airway sealing mechanism,these devices can be classified as peripharyngeal sealing device with cuff,pharyngeal sealing device with cuff and anatomy-directed prefabricated sealing device without cuff.Mechanism of upper airway obstruction,classification of and advances in these devices for supraglottic airway management and their clinical effects were reviewed.展开更多
目的分析预见性护理配合药物镇静对降低重症监护病房(intensive care unit,ICU)气管插管患者非计划性拔管率的效果。方法选取2016年4月~2017年3月在本院ICU行机械通气治疗患者144例作为研究对象,运用随机数表法将其分为观察组(n=72)与...目的分析预见性护理配合药物镇静对降低重症监护病房(intensive care unit,ICU)气管插管患者非计划性拔管率的效果。方法选取2016年4月~2017年3月在本院ICU行机械通气治疗患者144例作为研究对象,运用随机数表法将其分为观察组(n=72)与对照组(n=72)。给予对照组临床常规护理与药物镇静,观察组则于对照组基础上采取预见性护理。观察两组临床护理干预效果。结果观察组气管插管非计划性拔管(unplanned extubation,UEX)、呼吸机相关性肺炎(ventilator associated pneumonia,VAP)等发生率均低于对照组,护理满意度高于对照组,差异有统计学意义(c2=8.070、4.267、11.272,P<0.05)。结论预见性护理配合药物镇静可有效降低ICU气管插管患者非计划性拔管与VAP发生概率,保障治疗安全性,提升患者满意度与生命质量。展开更多
文摘Supraglottic airway management is a method to establish effective artificial airway.In anatomic view,post-tongue factors are the main causes of upper airway obstruction during anesthesia.Recently available devices for supraglottic airway management were designed to maintain patent airway,facilitate artificial ventilation and avoid tracheal intubation.According to the airway sealing mechanism,these devices can be classified as peripharyngeal sealing device with cuff,pharyngeal sealing device with cuff and anatomy-directed prefabricated sealing device without cuff.Mechanism of upper airway obstruction,classification of and advances in these devices for supraglottic airway management and their clinical effects were reviewed.
