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Wyświetlanie 1-2 z 2
Tytuł:
Comparison of Microaspiration Around Taperguard Tube Cuffs and Standard Tracheal Tubes in Obese Patients Subjected to Surgery Under General Anesthesia
Autorzy:
Gaszyńska, Ewelina
Ratajczyk, Paweł
Wieczorek, Andrzej
Szewczyk, Tomasz
Gaszyński, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/1395728.pdf
Data publikacji:
2014-03-01
Wydawca:
Index Copernicus International
Tematy:
endotracheal intubation
general anesthesia
tracheal tubes
cuff tightness
microaspirations
ventilator-associated pneumonia
Opis:
Tracheal secretion leakage might lead to ventilator-associated pneumonia. Standard tracheal tube cuffs are cylindrical in shape. Bronchial tree aspiration is observed in the presence of leakage past tracheal tube cuffs. The new TaperGuard tracheal tube has a cuff in the shape of a cone, preventing from the development of microtubules and microaspiration. The aim of the study was to compare standard tracheal tube cuffs with TaperGuard tubes, in terms of protection from microaspiration under general anesthesia. Material and methods. The observational study evaluated incidents of leakage during general anesthesia with intubation and mechanical ventilation in patients with significant obesity. The study group comprised 20 patients with the BMI >40 kg/m2 subjected to elective surgery under general anesthesia with intubation and mechanical ventilation, randomly divided into two subgroups: standard tracheal tube and TaperGuard tube. Results. In 4 of 10 patients with standard tracheal tubes we observed leakage around the cuff. In case of TaperGuard tubes no such leakage was observed. Conclusion. TaperGuard tubes protect against microaspirations, while standard tracheal tubes have no such properties.
Źródło:
Polish Journal of Surgery; 2014, 86, 3; 107-110
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparison of haemodynamic effects of noninvasive ventilation delivered via ResQGARD and CPAP boussignac masks
Autorzy:
Gaszyńska, Ewelina
Roguszka, Krzysztof
Stankiewicz- Rudnicki, Michał
Wieczorek, Andrzej
Gaszyński, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/1396097.pdf
Data publikacji:
2013-03-01
Wydawca:
Index Copernicus International
Tematy:
mechanical ventilation
haemodynamic CPAP
Impedance Threshold Device
Opis:
Noninvasive ventilation (NIV) is a technique of mechanical ventilation which does not require invasive airway management, i.e. intubation or tracheostomy. In emergency medicine Continuous Positive Airway Pressure (CPAP) is used often. A new method of NIV is Impedance Threshold Device (ITD). Breathing through an ITD is utilized to raise blood pressure in hypotensive patients. Aim of the study was to compare haemodynamic effects of NIV ITD and NIV CPAP. Material and methods. This study involved a group of 25 healthy volunteers. NIV was performed using ResQGARD ITD and CPAP Boussignac. Ventilation time was 25 minutes for each mask in each participant. Every three minutes parameters were collected: SpO2, BP and HR. There was a one hour interval in between ventilation with each mask. CPAP pressure was set at a level of 8 cm H2O and the mean inspiratory resistance of the ITD was 7cm H2O. Collected parameters were subjected to ANOVA statistical analysis. Results. Absolute comparison of BP, HR and SpO2 values did not reveal statistically significant differences between the masks. However considering blood pressure levels at entry, ventilation through an ITD significantly raised BP. Ventilation with NIV CPAP did not change significantly BP. Conclusion. Ventilation through an ITD device significantly improve haemodynamic function, whereas CPAP ventilation had no significant effect on it.
Źródło:
Polish Journal of Surgery; 2013, 85, 3; 129-132
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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