Construction and Evaluation of Airway Leakage Risk Model of Patients With Endotracheal Tube
Study Details
Study Description
Brief Summary
There are two cases in which the cross-sectional area of the tracheal catheter balloon does not match the cross-sectional area of the patient's airway. If the area of the tracheal catheter balloon is smaller than the cross-sectional area of the patient's airway, the pressure in the balloon reaches 30 cmH2O, and the airway cannot be completely sealed; This will increase the risk of VAP. If the area of the tracheal catheter balloon is significantly larger than the cross-sectional area of the patient's airway, and the pressure in the balloon reaches 30 cmH2O, the airway cannot be effectively sealed; The formation of wrinkles around the airbag also increases the risk of VAP in patients. Therefore, the purpose of this study is to build a risk model of airway leakage of patients' endotracheal tubes, which provides an accurate and objective assessment tool for medical staff, so that medical staff can select the endotracheal tubes purposefully and with emphasis from the beginning of the patients' endotracheal tubes, and reduce the airway leakage or airway mucosal damage of the endotracheal tubes.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
Admission number, department, name, gender, height, and weight are obtained through the hospital's electronic medical record management system。 Tidal volume (set Tidal volume), airway peak pressure (real-time data on the ventilator screen), data collection is synchronized with the minimum cuff pressure measurement when the airway is closed.
Study Design
Outcome Measures
Primary Outcome Measures
- Patient airway area [Within 1 year]
Firstly, confirm the front position of the tracheal catheter through chest X-ray, and then manually sketch the area of interest along the outer wall of the airway using Computed Tomography to calculate the area.
Secondary Outcome Measures
- Measure the minimum cuff pressure [1min]
The specific method is as follows: the patient takes a 30 ° semi recumbent position, puts a Stethoscope on the throat of the patient's trachea, inflates air into the trachea tube cuff until the air leakage sound just disappears, at this time, the value displayed by the cuff pressure gauge is the minimum cuff pressure when the airway is closed
Eligibility Criteria
Criteria
Inclusion Criteria:
Invasive mechanical ventilation; Chest CT imaging examination within 1 year;
Exclusion Criteria:
Patients with pneumothorax Acute respiratory distress syndrome; Chronic Obstructive Pulmonary Disease; Multiple organ dysfunction.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Affiliated Hospital of Nantong University | Nantong | Jiangsu | China | 226001 |
Sponsors and Collaborators
- Affiliated Hospital of Nantong University
Investigators
- Principal Investigator: HongLei wu, Affiliated Hospital of Nantong University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2021-K062-01