長期使用呼吸器腹脹病人接受高壓氧治療成功脫離之經驗

Translated title of the contribution: Successful Weaning from Prolonged Mechanical Ventilation in an Abdominal Distension Patient after Receiving Hyperbaric Oxygen Therapy

曾 奕菱(Yi-Ling Tseng), 邊 苗瑛(Mauo-Ying Bien), 謝 慧觀(Huei-Guan Shie)

Research output: Contribution to journalArticle

Abstract

This report focuses on the use of hyperbaric oxygen therapy to assist weaning from prolonged mechanical ventilation in an abdominal distension patient. DESIGN: Case report. SETTING: Respiratory therapy intensive care unit at the Taipei Veterans General Hospital. PATIENT: A 90 y/o male having severe abdominal distension prohibited weaning from prolonged mechanical ventilation. INTERVENTIONS: Initiation of three-time hyperbaric oxygen therapy as the treatment for severe abdominal distension that was unresponsive to the medicine. MEASUREMENTS AND MAIN RESULTS: Once three-time hyperbaric oxygen therapy course was reached, ventilator support was removed within 14 days. CONCLUSIONS: Hyperbaric oxygen therapy was successfully used to facilitate weaning in an abdominal distension patient, possibly reducing abdominal pressure or direct effect on lung compliance. Further investigations of hyperbaric oxygen therapy intervention should be done to inform practice guidelines in difficult-to-wean patients suffering from severe abdominal distension.
Original languageTraditional Chinese
Pages (from-to)97-109
Number of pages13
Journal呼吸治療
Volume7
Issue number1
DOIs
Publication statusPublished - 2008

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Hyperbaric Oxygenation
Weaning
Artificial Respiration
Veterans Hospitals
Lung Compliance
Respiratory Therapy
Mechanical Ventilators
Practice Guidelines
General Hospitals
Intensive Care Units
Medicine
Pressure

Keywords

  • hyperbaric oxygen therapy
  • weaning
  • prolonged mechanical ventilation
  • abdominal distension

Cite this

曾奕菱(Yi-Ling T, 邊苗瑛(Mauo-Ying B, & 謝慧觀(Huei-Guan S (2008). 長期使用呼吸器腹脹病人接受高壓氧治療成功脫離之經驗. 呼吸治療, 7(1), 97-109. https://doi.org/10.6269/JRT.2008.7.1.08

長期使用呼吸器腹脹病人接受高壓氧治療成功脫離之經驗. / 曾奕菱(Yi-Ling Tseng); 邊苗瑛(Mauo-Ying Bien); 謝慧觀(Huei-Guan Shie).

In: 呼吸治療, Vol. 7, No. 1, 2008, p. 97-109.

Research output: Contribution to journalArticle

曾奕菱(Yi-LingT, 邊苗瑛(Mauo-YingB & 謝慧觀(Huei-GuanS 2008, '長期使用呼吸器腹脹病人接受高壓氧治療成功脫離之經驗', 呼吸治療, vol. 7, no. 1, pp. 97-109. https://doi.org/10.6269/JRT.2008.7.1.08
曾奕菱(Yi-LingT, 邊苗瑛(Mauo-YingB, 謝慧觀(Huei-GuanS. 長期使用呼吸器腹脹病人接受高壓氧治療成功脫離之經驗. 呼吸治療. 2008;7(1):97-109. https://doi.org/10.6269/JRT.2008.7.1.08
曾奕菱(Yi-Ling Tseng) ; 邊苗瑛(Mauo-Ying Bien) ; 謝慧觀(Huei-Guan Shie). / 長期使用呼吸器腹脹病人接受高壓氧治療成功脫離之經驗. In: 呼吸治療. 2008 ; Vol. 7, No. 1. pp. 97-109.
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abstract = "個案爲長期使用呼吸器腹脹病人,接受高壓氧治療成功脫離呼吸器,個案於台北榮民總醫院呼吸加護病房中,一位九十歲長期使用呼吸器因腹脹嚴重,無法脫離呼吸器病人,腹脹在藥物治療無效後,給予三次高壓氧治療腹脹情況迅速改善,於14天後成功脫離呼吸器。高壓氧治療使病人順利脫離呼吸器,可能和病人腹壓下降與肺部順應性改變有關,未來對於長期使用呼吸器,因腹脹而困難脫離的病人,可考慮接受高壓氧治療,以儘快減輕腹脹成功脫離呼吸器。",
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KW - 長期使用呼吸器

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KW - prolonged mechanical ventilation

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