开放期刊系统

围术期气管插管套囊压力管理的研究进展

颖 张(承德医学院附属医院,中国)
艳 路(承德医学院附属医院,中国)
汝泓 李(承德医学院附属医院,中国)

摘要

在麻醉过程中,通过气管插管建立人工气道是保证机械通气、救治呼吸衰竭等危重患者的重要措施。导管的套囊的作用在于通气过程中防止漏气和误吸。气管插管后对套囊的管理是关键部分。套囊压力过高或过低都会有相关并发症,而影响套囊压力的因素有很多,因此在围术期对套囊压力进行监测,以此来预防因压力过高或过低而造成的相关并发症。本文就气管导管套囊的种类、套囊压力的监测、套囊压力的影响因素以及不合适的套囊压力引起的并发症及其预防进行综述。

关键词

气管插管;套囊压力监测;套囊高压;全身麻醉;综述

全文:

PDF

参考

李响,岳子勇.气管导管套囊压力术中管理的研究进展[J].临床与病理杂志,2021,41(04):955-959.

Wilhite DP, Bhammar DM, Martinez-Fernandez T, et al. Mechanical effects of obesity on central and peripheral airway resistance in nonasthmatic early pubescent children[J]. Pediatric Pulmonology, 2022,57(12):2937-2945.

Efrati S, Deutsch I, Gurman GM, et al. Tracheal pressure and endotracheal tube obstruction can be detected by continuous cuff pressure monitoring: in vitro pilot study[J]. Intensive Care Medicine, 2010,36(6):984-90.

陈伟伟,张红静.吸烟对中老年人肺功能的影响[J].临床医药文献电子杂志,2019,6(94):40.

Sukhupanyarak S. Risk factors evaluation and the cuff leak test as predictors for postextubation stridor[J]. Journal of The Medical Association of Thailand Chotmaihet Thangphaet, 2008,91(5):648-53.

Kim S. Comparison of the cuff pressures of a TaperGuard endotracheal tube during ipsilateral and contralateral rotation of the head: A randomized prospective study[J]. Medicine (Baltimore), 2018,97(42):e12702.

屈启才,胡平,白忠,等.支撑喉镜手术的体位对气管导管套囊压力的影响研究[J].重庆医学,2018,47(25):3311-3312+3318.

Wu CY, Yeh YC, Wang MC,,et al.Changes in endotracheal tube cuff pressure during laparoscopic surgery in head-up or head-down positi-on[J].BioMed Central Anesthesiology,2014,14:75

Kamata M, Hakim M, Tumin D,et al. The Effect of Transesophageal Echocardiography Probe Placement on Intracuff Pressure of an Endotracheal Tube in Infants and Children[J]. Journal of Cardiothoracic And Vascular Anesthesia, 2017,31(2):543-548.

Johny P, Segaran S, Vidya MV, et al. A Comparative Study of Cuff Pressure Changes of Endotracheal Tube with the Use of Air Versus Nitrous Oxide in the Anaesthetic Gas Mixture During Laparoscopic Surgery[J]. Turk J Anaesthesiol Reanim. 2022,50(4):261-266.

Delorenzo AJ, Shepherd M, Jennings PA. Endotracheal Cuff Pressure Changes During Helicopter Transport: A Systematic Review[J]. Air Medical Journal, 2017,36(2):81-84.

张金秋,侯惠如,来纯云,等.气管插管患者使用锥形和柱形套囊导管的气囊压力变化比较分析[J].现代临床护理,2019,18(01):38-41.

张粒子,薛庆生,刘志恒.电子测压表及压力换能器连续监测气管导管套囊压力的一致性分析[J].中国实用医药,2020,15(30):52-54.

赵丹宁,张红伟,李晓芳,等.人工气道气囊管理的护理进展[J].护理学杂志,2004,(23):70-71.

Michlig SA. Anaesthetic staff cannot identify extremely high tracheal tube cuff pressures by palpation of the pilot balloon[J]. British Journal of Anaesthesia, 2013,111(2):300-1.

Wang C, Yan X, Gao C, et al. Effect of continuous measurement and adjustment of endotracheal tube cuff pressure on postoperative sore throat in patients undergoing gynecological laparoscopic surgery: study protocol for a randomized controlled trial[J]. Trials, 2023,24(1):358.

李群,陈治军.气管导管套囊的应用及存在的问题[J].华夏医学,2022,35(03):140-144.

尤荣开,邵朝朝,薛丽珠,等.声门下分泌物引流对呼吸机相关性肺炎发病的影响[J].中国呼吸与危重监护杂志,2010,9(03):318-319.

Somri M, Fradis M, Malatskey S,et al. Simple on-line endotracheal cuff pressure relief valve[J]. Annals of Otology Rhinology And Laryngology, 2002,111(2):190-2.

赵萤,范刘美子,谢亚宁,等.气管导管套囊高压的影响因素及并发症的预防[J].临床麻醉学杂志,2022,38(12):1322-1325.

刘超,陈昌,吉林,等.气管导管套囊压力控制对老年食管癌患者围手术期咽喉痛及肺部并发症的影响[J].中国现代医学杂志,2024,34(12):6-11.

Xu X, Xing N, Chang Y, et al. Tracheal rupture related to endotracheal intubation after thyroid surgery: a case report and systema-tic review[J]. International Wound Journal, 2016,13(2):268-71.

Young PJ, Basson C, Hamilton D,et al. Prevention of tracheal aspiration using the pressure-limited tracheal tube cuff[J]. Anaesthesia,1999,54(6):559-63.

周丽丽,李雪萍,陈剑,等.静脉输注利多卡因对腔镜甲状腺手术患者术后气道并发症的影响[J].中国医药,2022,17(06):863-866.

杨小花.糖皮质激素预防麻醉后咽喉部并发症的系统评价[D].福建医科大学,2014.

Passali D,Barat V, Cadevall O. International Delphi-based consensus on the appropriate use and effect of Benzydamine hydrochloride in the treatment of sore throat[J]. BMC Primary Care,2022,23(1):296.

Wang G, Qi Y, Wu L, Jiang G. Comparative Efficacy of 6 To-pical Pharmacological Agents for Preventive Interventions of Postopera-tive Sore Throat After Tracheal Intubation: A Systematic Reviewand Network Meta-analysis[J]. Anesthesia And Analgesia. 2021 Jul 1;133(1):58-67.

Thomas D, Bejoy R, Zabrin N,et al. Preoperative ketamine nebulization attenuates the incidence and severity of postoperative sore throat: A randomized controlled clinical trial[J]. Saudi Journal of Anaesthesia,2018 Jul-Sep;12(3):440-445.



DOI: http://dx.doi.org/10.12345/yzlcyxzz.v8i2.24016

Refbacks

  • 当前没有refback。
版权所有(c)2025 颖 张, 艳 路, 汝泓 李 Creative Commons License
此作品已接受知识共享署名-非商业性使用 4.0国际许可协议的许可。
  • :+65-62233778 QQ:2249355960 :contact@s-p.sg