Howtoavoidmicroaspiration?Akeyelementforthepreventionofventilator-associatedpneumoniainintubatedICUpatients.
BMCInfectiousDiseases:doi:10./--14-
翻译:黄德斌
TakingintoaccounttheeffectivenessofavoidingmicroaspirationandVAPthefollowingmeasuresshouldbeconsidered:(i)theuseofETTdesignedforSSD,(ii)continuouscuffpressuremonitoringandcontrol,(iii)aminimumPEEPof5cmH2O,and(iv)avoidanceofsupinepositioning.
综合考虑避免微量误吸和预防VAP的有效性,应该考虑的措施:
(i)选用可以声门下吸引的ETT导管;
(ii)持续监测并控制气囊压力;
(iii)最低限度为5cmH2O的PEEP值;
(iv)避免仰卧位。
ThefollowingmeasureslackdatatodemonstratetheirbenefitsintermsofVAPriskreduction,butareneverthelessinterestingbecauseoftheirpotentialtoreducemicroaspiration:(i)gellubricationofthecuffpriortointubation,(ii)polyurethanecuffedETTs,and(iii)taper-shapedETTcuffs.
缺乏更多证据证明能够减少VAP的风险,但在减少微量误吸方面有潜能的措施:
(i)插管前凝胶润滑ETT气囊;
(ii)使用气囊材料为聚亚胺脂的ETT导管;
(iii)使用锥形气囊的ETT导管。
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