Prolonged artificial ventilation. Are tracheal injuries the only problem?
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صدمات ناشی از لوله گذاری طولانی مدت بر نای و حنجره
Background: Prolonged endotracheal intubation is a growing method for supporting ventilation in patients who require intensive care. Despite considerable advancement in endotracheal intubation, this method still has some complications the most important is laryngo-tracheal injuries. Methods: Over a 2-year period, this retrospective study was conducted on 57 patients with hist...
متن کاملTilt Table Practice Improved Ventilation in a Patient with Prolonged Artificial Ventilation Support in Intensive Care Unit
Patients who are on prolonged ventilator support in critical care unit present wide variety of complications, which range from reduction in oxygen uptake to various musculoskeletal impair-ments. Early mobilization and rehabilitation are encouraged to manage these complications effectively. Use of tilt table to motivate early mobilization in the intensive care unit for ventilator practices is no...
متن کامل[Effects of tracheal tube cuff limit pressure (25 cmH2O) and "seal" pressure on tracheal mucosa of dogs.].
BACKGROUND AND OBJECTIVES Injuries of tracheal mucosa in contact with tracheal tube cuff is a function of cuff pressure and exposure time. This study aimed at analyzing injuries of tracheal mucosa in contact with tracheal tube cuff inflated to reach "seal" pressure or limit 25 cmH2O pressure, below critical 30 cmH2O, to prevent tracheal damage. METHODS This study involved 16 dogs submitted to...
متن کاملSignificant tracheal obstruction causing failure to wean in patients requiring prolonged mechanical ventilation: a forgotten complication of long-term mechanical ventilation.
INTRODUCTION Modern low-pressure, high-volume cuffed tracheotomy tubes have been shown to decrease tracheal injury. However, injury still occurs in patients requiring prolonged mechanical ventilation and prevents weaning, delays decannulation, prolongs hospitalization, and may totally obstruct the airway. We describe 37 patients, including the first reported case of failure to wean due to trach...
متن کاملRespiratory mechanics of neurological patients undergoing mechanical ventilation under heated humidifier and a heat exchanger filter model Mecânica respiratória de pacientes neurocríticos sob ventilação mecânica submetidos à umidificação aquecida e a um modelo de filtro trocador de calor
Artificial airway (AAW) and mechanical ventilation (MV) are indicated in the presence of imbalance between demand and ventilatory capacity. Upper airways have a very important role for the inspired air heating, humidification and filtration, and are responsible for about 65% of alveolar gas humidity.(1,2) Prolonged inhalation of inappropriately conditioned gases may lead to hypothermia, bronchi...
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عنوان ژورنال:
- Chest
دوره 72 2 شماره
صفحات -
تاریخ انتشار 1977