Intra-tracheal multiplexed sensing of contact pressure and perfusion.

Intra-tracheal multiplexed sensing of contact pressure and perfusion.
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DOI:
10.1364/boe.442165
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发表时间:
2022-01-01
影响因子:
3.4
通讯作者:
Morgan SP
Morgan SP
中科院分区:
医学2区
文献类型:
--
作者:
Correia R;Gadsby B;Korposh S;Norris AM;Hayes-Gill BR;Sinha R;Hardman JG;Gardner DS;Talbot S;Harvey D;McGlashan J;Morgan SP

文献摘要

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不正确的气管插管(ETT)袖口充气压力对插管患者造成重大问题。描述了技术发展和首次在体内使用智能ETT在机械通气期间在袖袖-气管界面进行测量。气管内多路传感(iTraXS) ETT包含集成光纤传感器,用于测量接触压力和血液灌注。该装置在猪模型(N=6)机械通气期间进行测试。对于接触压力,所有30次测量都获得了信号。对于灌注,所有33次测量均可获得数据。在3例袖带人为膨胀至高位的病例中,观察到血液闭塞。
Incorrect endotracheal tube (ETT) cuff inflation pressure causes significant problems for intubated patients. The technical development and first in vivo use of a smart ETT for measurements at the cuff-trachea interface during mechanical ventilation are described. The intra-tracheal multiplexed sensing (iTraXS) ETT contains integrated optical fibre sensors to measure contact pressure and blood perfusion. The device is tested during mechanical ventilation in a porcine model (N=6). For contact pressure, signals were obtained in all 30 measurements. For perfusion, data could be obtained in all 33 measurements. In the 3 cases where the cuff was inflated to an artificially high-level, blood occlusion is observed.