机械通气预防反流误吸教学教材演示幻灯片.pptVIP

The tracheal tube: gateway to ventilator-associated pneumonia Zolfaghari Parjam S Zolfaghari1* and Duncan LA Wyncoll2and Wyncoll Critical Care 2011, 15:310 ?????????? /content/15/5/310 气囊 20 cmH2O的气囊压是VAP的独立危险因素 频繁的含胃蛋白酶的胃内容微误吸是插管患者VAP的独立危险因素 强调足够的气囊密封的重要性，它可防止口咽分泌物吸入下呼吸道 气囊皱褶、气囊与气管管壁 之间的间隙微误吸时常发生 Figure 2. Photograph of various bench tested tracheal tubes of different designs showing the internal channels created and the leak of liquid Material past the cuff. Tube cuffs A and B are made from polyvinyl chloride, and cuffs C and D with thin polyurethane (C ha