成人病患拔管後喉咽水腫的原因、評估與處理

Translated title of the contribution: The Etiology, Evaluation and Management of Post-Extubation Laryngeal Edema in Adult Patients

余 澹盈(Dan-Ying Yu), 陳 曉宜(Shiau-Yee Chen), 吳 昭儀(Chao-Yi Wu), 張 哲華(Jer-Hwa Chang), 邊 苗瑛(Mauo-Ying Bien)

Research output: Contribution to journalArticle

Abstract

Laryngeal edema is the most common complication after extubation and can cause upper airway obstruction with stridor and dyspnea in the adult patients. In severe condition, the patients usually deteriorate their general conditions and need to be re-intubated, prolong the days on mechanical ventilation and hospital stay, and increase the mortality rate and resources utilization. The early detection of the occurrence of upper airway obstruction can lower the risk of extubation failure. Cuff-leak test is the most common used non-invasive method to predict the occurrence of upper airway obstruction. Through the literature review, we will present the steps, diagnostic criteria and related therapeutic strategies of this test. The information provided in this article could help the clinicians in their practice.
Original languageTraditional Chinese
Pages (from-to)37-49
Number of pages13
Journal呼吸治療
Volume13
Issue number1
DOIs
Publication statusPublished - 2014

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Laryngeal Edema
Airway Obstruction
Respiratory Sounds
Artificial Respiration
Dyspnea
Length of Stay
Mortality
Therapeutics

Keywords

  • Cuff leak test
  • Upper airway obstruction
  • Post-extubation stridor
  • Laryngeal edema

Cite this

余澹盈(Dan-Ying Y, 陳曉宜(Shiau-Yee C, 吳昭儀(Chao-Yi W, 張哲華(Jer-Hwa C, & 邊苗瑛(Mauo-Ying B (2014). 成人病患拔管後喉咽水腫的原因、評估與處理. 呼吸治療, 13(1), 37-49. https://doi.org/10.6269/JRT.2014.13.1.04

成人病患拔管後喉咽水腫的原因、評估與處理. / 余澹盈(Dan-Ying Yu); 陳曉宜(Shiau-Yee Chen); 吳昭儀(Chao-Yi Wu); 張哲華(Jer-Hwa Chang); 邊苗瑛(Mauo-Ying Bien).

In: 呼吸治療, Vol. 13, No. 1, 2014, p. 37-49.

Research output: Contribution to journalArticle

余澹盈(Dan-YingY, 陳曉宜(Shiau-YeeC, 吳昭儀(Chao-YiW, 張哲華(Jer-HwaC & 邊苗瑛(Mauo-YingB 2014, '成人病患拔管後喉咽水腫的原因、評估與處理', 呼吸治療, vol. 13, no. 1, pp. 37-49. https://doi.org/10.6269/JRT.2014.13.1.04
余澹盈(Dan-YingY, 陳曉宜(Shiau-YeeC, 吳昭儀(Chao-YiW, 張哲華(Jer-HwaC, 邊苗瑛(Mauo-YingB. 成人病患拔管後喉咽水腫的原因、評估與處理. 呼吸治療. 2014;13(1):37-49. https://doi.org/10.6269/JRT.2014.13.1.04
余澹盈(Dan-Ying Yu) ; 陳曉宜(Shiau-Yee Chen) ; 吳昭儀(Chao-Yi Wu) ; 張哲華(Jer-Hwa Chang) ; 邊苗瑛(Mauo-Ying Bien). / 成人病患拔管後喉咽水腫的原因、評估與處理. In: 呼吸治療. 2014 ; Vol. 13, No. 1. pp. 37-49.
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title = "成人病患拔管後喉咽水腫的原因、評估與處理",
abstract = "喉咽水腫是放置氣管內管的成人病患拔管後,發生呼吸道堵塞合併呼吸困難的主要原因,嚴重者可能使病情惡化且需重新插管,造成使用呼吸器天數及住院天數均延長、死亡率升高並增加醫療資源的耗用。醫療人員如能早期評估高風險病患並及早處置,將可減少拔管失敗的機率,目前常使用的非侵襲性評估方法為氣囊漏氣測試(cuff-leak test)。本文以文獻回顧的方式,探討氣囊漏氣測試的測量步驟及診斷標準,並說明拔管後發生上呼吸道堵塞的處置方法,以提供臨床參考及應用。",
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AU - 陳, 曉宜(Shiau-Yee Chen)

AU - 吳, 昭儀(Chao-Yi Wu)

AU - 張, 哲華(Jer-Hwa Chang)

AU - 邊, 苗瑛(Mauo-Ying Bien)

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AB - 喉咽水腫是放置氣管內管的成人病患拔管後,發生呼吸道堵塞合併呼吸困難的主要原因,嚴重者可能使病情惡化且需重新插管,造成使用呼吸器天數及住院天數均延長、死亡率升高並增加醫療資源的耗用。醫療人員如能早期評估高風險病患並及早處置,將可減少拔管失敗的機率,目前常使用的非侵襲性評估方法為氣囊漏氣測試(cuff-leak test)。本文以文獻回顧的方式,探討氣囊漏氣測試的測量步驟及診斷標準,並說明拔管後發生上呼吸道堵塞的處置方法,以提供臨床參考及應用。

KW - 喉咽水腫

KW - 拔管後喘鳴音

KW - 呼吸道堵塞

KW - 氣囊漏氣測試

KW - Cuff leak test

KW - Upper airway obstruction

KW - Post-extubation stridor

KW - Laryngeal edema

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JO - 呼吸治療

JF - 呼吸治療

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