지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 256 - 260 (5page)
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초록· 키워드
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Background: Pulmonary contusion is the most common pulmonary parenchymal injury in blunt chest trauma and may constitute a life-threatening thoracic injury. In this study, we evaluated the usefulness of high-frequency chest wall oscillation (HFCWO) therapy in patients with pulmonary contusion.
Methods: Patients with lung contusion either received HFCWO therapy using the Vest system (Vest group; n = 18) or received conventional chest physiotherapy (non-Vest group; n = 23). The physiological parameters of the patients, length of stay in hospital and ICU, and the duration of mechanical ventilation were compared between the two groups. Variables, including pulmonary contusion score, percentage of patients receiving mechanical ventilation therapy, and PaO_2/FiO_2 ratio, were also analyzed.
Results: The pulmonary contusion score was higher in the Vest group (p ＜ 0.01), and mechanical ventilation was used more frequently in the Vest group (p = 0.027). Improvement in the PaO_2/FiO_2 ratio over the first 48 h did not differ between the Vest and Non-Vest groups. No significant differences in the physiological parameters, hospital and ICU stays, and duration of mechanical ventilation were observed between the two groups.
Conclusions: The therapeutic effect of the Vest system in patients with pulmonary contusion was similar to that of conventional chest physiotherapy. Therefore, the Vest system could be considered as an airway clearance technique in the management of patients with pulmonary contusion.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Anderson CA / 2008 / Evaluation of the safety of high-frequency chest wall oscillation (HFCWO) therapy in blunt thoracic trauma patients / J Trauma Manag Outcomes 2 : 8 ~
Antonelli M / 1994 / Risk factors for early onset pneumonia in trauma patients / Chest 105 : 224 ~ 228
Bloomfield GL / 1997 / A proposed relationship between increased intra-abdominal, intrathoracic, and intracranial pressure / Crit Care Med 25 : 496 ~ 503
Croce MA / 1999 / Early and late acute respiratory distress syndrome: two distinct clinical entities / J Trauma 46 : 361 ~ 366
Darbee JC / 2005 / Physiologic evidence for high-frequency chest wall oscillation and positive expiratory pressure breathing in hospitalized subjects with cystic fibrosis / P
Antonelli M / 1994 / Risk factors for early onset pneumonia in trauma patients / Chest 105 : 224 ~ 228
Bloomfield GL / 1997 / A proposed relationship between increased intra-abdominal, intrathoracic, and intracranial pressure / Crit Care Med 25 : 496 ~ 503
Croce MA / 1999 / Early and late acute respiratory distress syndrome: two distinct clinical entities / J Trauma 46 : 361 ~ 366
Darbee JC / 2005 / Physiologic evidence for high-frequency chest wall oscillation and positive expiratory pressure breathing in hospitalized subjects with cystic fibrosis / P
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