A comparison of nasotracheal intubation versus orotracheal intubation for mechanical ventilation in the treatment of severe COPD complicated with respiratory failureChinese Full Text
LIN Yu;LI Yang;LIN Ze-xi;JIANG Yun-liang;Department of Respiratory Medicine,Huitong County People’ s Hospital;
Abstract: Objective To explore the clinical value of nasotracheal intubation mechanical ventilation guided by bronchofiberscope for the treatment of chronic obstructive pulmonary disease（ COPD） complicated with respiratory failure. Methods Eighty-six patients with severe COPD complicated with respiratory failure and reached the indications of invasive ventilation treatment were randomly divided into two groups（ n = 43 each） : experimental group and control group. The nasotracheal intubation mechanical ventilation guided by bronchofiberscope was used in experimental group,and the orotracheal intubation mechanical ventilation was used in control group. The one-time cannula success rate,patients,tolerability,incidence of adverse reactions,needed time to reach weaning criteria and other relevant indications in the two strategies were compared. Results Compared with the control group,the one-time cannula success rate significantly increased（ 93. 0% vs 74. 4%,P ＜ 0. 05）; the time to operate significantly decreased[（ 3. 06 ± 0. 87） min vs（ 4. 22 ± 0. 91） min,P ＜ 0. 01]; patients’ tolerance rate significantly increased（ 76. 7% vs 51. 2%,P ＜ 0. 05）; the incidence of adverse reactions significantly lowered（ 32. 6 % vs58. 1%,P ＜ 0. 05）; the needed times to reach normal levels of blood gas analysis indications（ SaO2,PaCO2） for the first time and to reach weaning criteria significantly decreased all[（ 25. 38 ± 10. 15） h vs（ 32. 12 ± 11. 62） h,P ＜0. 01;（ 3. 22 ± 1. 46） d vs（ 4. 37 ± 1. 61） d,P ＜ 0. 01] in the experimental group. Conclusions Compared with orotracheal intubation mechanical ventilation for the treatment of severe COPD complicated with respiratory failure,the strategy using nasotracheal intubation mechanical ventilation guided by bronchofiberscope has a good tolerability for patients and a satisfactory therapeutic effect in clinic.
Keywords：
Respiratory failure; Chronic obstructive pulmonary disease; Bronchofiberscope; Nasotracheal intubation;
- DOI：
10.13429/j.cnki.cjcr.2014.06.005
- Series：
- Subject：
- Classification Code：
R563.8
- Mobile Reading
Read on your phone instantly
Step 1Scan QR Codes
"Mobile CNKI-CNKI Express" App
Step 2Open“CNKI Express”
and click the scan icon in the upper left corner of the homepage.
Step 3
Scan QR Codes
Read this article on your phone.
- HTML
- CAJ Download
- PDF Download
Download the mobile appuse the app to scan this coderead the article.
Tips: Please download CAJViewer to view CAJ format full text.
Download: 41 Page: 653-655 Pagecount: 3 Size: 193K
Citation Network
Related Literature
- Similar Article
- Reader Recommendation
- Associated Author