ICU气道并发症的发生率。

IF 5.9 2区 管理学 Q1 MANAGEMENT
Journal of International Management Pub Date : 2023-12-01 Epub Date: 2023-05-11 DOI:10.1007/s12070-023-03850-x
Mahmoud Ahmed Shawky, Mohamed Ahmed Shawky, Nada Zakaria Zakaria
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引用次数: 0

摘要

目的了解ICU患者气道并发症的发生率。气管插管是由多名医学专家执行的一项基本技能,以确保患者的气道,并通过口腔或鼻子提供氧合和通气。在紧急情况下气管插管的目的是确保患者的气道安全并获得首次成功。气管内插管有许多适应症,包括呼吸驱动不良、气道通畅可疑、缺氧和高碳酸血症。通过评估患者的精神状态、可能危及气道的情况、意识水平、呼吸频率、呼吸性酸中毒和氧合水平来评估这些适应症。在创伤的情况下,格拉斯哥昏迷评分为8或更低通常是插管的指征。气管插管有多种并发症,如声音嘶哑、牙损伤、杓骨脱位、喉狭窄、气管狭窄、气管软化等。重症监护室的150名患者出现了某些并发症。86例(57.3%)患者在ICU内出现一定并发症。入院的主要原因是肝脏疾病34例(22.7%),其次是休克32例(21.3%)。ICU并发症以气管插管阻塞为主18例(12%),其次为鼻窦炎16例(10.7%)。气管插管是一种挽救生命的手术,其并发症是icu的重要问题。成功的插管手术可避免并发症。熟练的ICU气管插管可减少并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence of Airway Complications in ICU.

To show the incidence of airway complications in ICU. Endotracheal intubation is an essential skill performed by multiple medical specialists to secure a patient's airway as well as provide oxygenation and ventilation through the oral route or nose. The goal of endotracheal intubation in the emergency setting is to secure the patient's airway and obtain first-pass success. There are many indications for endotracheal intubation, including poor respiratory drive, questionable airway patency, hypoxia, and Hypercapnia. These indications are assessed by evaluating the patient's mental status, conditions that may compromise the airway, level of consciousness, respiratory rate, respiratory acidosis, and level of oxygenation. In the setting of trauma, a Glasgow Coma Scale of 8 or less is generally an indication for intubation. There are many different complications of intubation as hoarseness of voice, dental injuries, arytenoid dislocation, laryngeal stenosis, tracheal stenosis and tracheomalacia. . 150 patients who were sat in the ICU that developed certain complications. 86 patients (57.3%) were sitting in the ICU develoed certain complications. Liver diseases were the main cause of ICU admission 34 (22.7%) patients then shock 32 (21.3%) patients. Blockage of endotracheal tube was the main ICU complications 18 (12%) patients then sinusitis 16 (10.7%) patients. Endotracheal intubation is a lifesaving procedure and its complications are significant problems in ICUs. A successful procedure of intubation avoids complications. Skilled endotracheal intubation in the ICU decreases the complications.

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来源期刊
自引率
9.80%
发文量
67
审稿时长
81 days
期刊介绍: The Journal of International Management is devoted to advancing an understanding of issues in the management of global enterprises, global management theory, and practice; and providing theoretical and managerial implications useful for the further development of research. It is designed to serve an audience of academic researchers and educators, as well as business professionals, by publishing both theoretical and empirical research relating to international management and strategy issues. JIM publishes theoretical and empirical research addressing international business strategy, comparative and cross-cultural management, risk management, organizational behavior, and human resource management, among others.
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