کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9059331 | 1139801 | 2005 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Closed versus partially ventilated endotracheal suction in extremely preterm neonates: physiologic consequences
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کلمات کلیدی
FRCCTSSEndotracheal suctionIMVPEEPSpO2RDSETsV/Q - V / Qoxygen saturation - اشباع اکسیژنECG - الکتروکاردیوگرام یا نوار قلبelectrocardiogram - الکتروکاردیوگرام یا نوار قلبNICU - بخش NICUbpm - بوقلمونventilation/perfusion - تهویه / پرفیوژنIntermittent mandatory ventilation - تهویه اجباری متناوبRespiratory distress syndrome - سندرم دیسترس تنفسیbeats per minute - ضربان در دقیقهHeart rate - ضربان قلبFunctional residual capacity - ظرفیت باقی مانده کارکردیPositive end expiratory pressure - فشار بیرونی انتهای مثبتCritical care - مراقبتهـای ویـژهNeonates - نوزاد preterm infants - نوزادان نارسneonatal intensive care unit - واحد مراقبت های ویژه نوزادانBirth weight - وزن هنگام تولد
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
This randomized cross over study aimed to compare the severity and incidences of desaturation and bradycardia between the partially ventilated endotracheal suction method (PVETS) and closed tracheal suction system (CTSS) in extremely preterm neonates. Fifteen intubated and ventilated extremely low birth weight preterm infants (mean birth weight 689Â g) randomly underwent both suction techniques within a 12-h period to obtain a paired reading group. The process was repeated 24-48Â h apart until three pairs of reading groups were collected. Changes in oxygen saturation measured with pulse oximetry and heart rate changes measured with electrocardiogram were recorded using Hewlett-Packard m240A monitor trending software. The mean of each parameter's variation from baseline was obtained using SPSS descriptive statistics and analyzed using SPSS repeated measures ANOVA. Fisher Exact Test was used to analyze the incidence of desaturation and bradycardia. The closed tracheal suction system reported a significantly smaller degree of oxygen saturation fall (PÂ <Â 0.005) and significantly fewer incidences of desaturation. There was also a significantly smaller degree of heart rate reduction although episodes of bradycardia were not significantly different between the two methods. Oxygen saturation and heart rate were significantly more stable during the use of CTSS compared to PVETS in the extremely low birth weight preterm population.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 21, Issue 4, August 2005, Pages 234-242
Journal: Intensive and Critical Care Nursing - Volume 21, Issue 4, August 2005, Pages 234-242
نویسندگان
A.M. Tan, J.M. Gomez, J. Mathews, M. Williams, J. Paratz, V.S. Rajadurai,