این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
The Journal of Tehran University Heart Center، جلد ۷، شماره ۳، صفحات ۱۲۱-۱۲۷

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عنوان انگلیسی A New Method for Extubation: Comparison between Conventional and New Methods
چکیده انگلیسی مقاله Background: Extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. In order to reduce these complications, and, based on basic physiological principles, a new practical extubation method is presented in this article. Methods: The study was designed as a six-month prospective cross-sectional clinical trial. Two hundred fifty-seven patients undergoing coronary artery bypass grafting (CABG) were divided into two groups based on their scheduled surgery time. The first group underwent the conventional extubation method, while the other group was extubated according to a new described method. Arterial blood gas (ABG) analysis results before and after extubation were compared between the two groups to find the effect of the extubation method on the ABG parameters and the oxygenation profile. Results: In all time intervals, the partial pressure of oxygen in arterial blood / fraction of inspired oxygen(PaO/ FiO ) ratio in the new method group patients was improved compared to that in the conventional method; some differences, like PaO FiO four hours after extubation, were statistically significant, however (p value = 0.0063). Conclusion: The new extubation method improved somerespiratory parameters and thus attenuated oxygenationcomplications and amplified oxygenation after extubation.
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نویسندگان مقاله فردین یوسف شاهی | fardin yousefshahi
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

خسرو برخورداری | khosro barkhordari
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

علی موافق | ali movafegh
shariati hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

ویدا توکلی | vida tavakoli
shariati hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

ام البنین پاک نژاد | omalbanin paknejad
shariati hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

پیوند بینا | payvand bina
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

هادی یوسف شاهی | hadi yousefshahi
rajaee heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمود شیخ فتح الهی | mahmood sheikh fathollahi
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)


نشانی اینترنتی http://jthc.tums.ac.ir/index.php/jthc/article/view/259
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