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강지영 ( Kang Jee-Young ) - 가톨릭대학교 성모병원
유양숙 ( Yoo Yang-Sook ) - 가톨릭대학교 간호대학
성소영 ( Seong So-Young ) - 가톨릭대학교 성모병원
서지원 ( Seo Ji-Won ) - 가톨릭대학교 성모병원
구슬아 ( Koo Seul-A ) - 가톨릭대학교 성모병원
박경원 ( Park Kyoung-Won ) - 가톨릭대학교 성모병원
최은주 ( Choi Eun-Ju ) - 가톨릭대학교 성모병원
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Abstract
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Purpose: To examine effects of application of bronchodilators after endotracheal suction on peak air way pressure (PAP), lung compliance (Cdyn), oxygen saturation (SpO2), heart rate (HR), blood pressure (BP), and respiration rate (RR) in cardiac surgery patients.
Method: Data were collected from October 2007 to March 2008. Participants were patients who were treated with bronchodilators through mechanical ventilators in the SICU. At each suctioning, bronchodilators were applied immediately, and at 5, 10, and 15 minutes after suctioning. Besides PAP, Cdyn, SpO2, HR, BP, RR, data on the frequency of side effects were also collected at 15, 30, 60 minutes after nebulization. Data were analyzed using the SAS program.
Results: For application of bronchodilator right after suctioning and after, 5, 10 and 15 minutes, PAP and Cdyn did not show any significant differences although PAP was persistently decreased for 15 to 30 minutes and Cdyn increased at 15 minutes and decreased gradually after nebulization. Besides SpO2, HR, BP, and RR, frequency of side effects did not show any significant difference.
Conclusion: Bronchodilators can be applied at any time. However, the positive effects of bronchodilation right after suctioning on PAP and Cdyn, as also shown in previous reports, indicate it is a more efficient clinical process to maintain an adequate airway.
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KeyWords
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심장수술환자, 인공호흡기, 기관지 확장제, 폐기능
Thoracic surgery, Ventilators, Mechanical, Bronchodilator agents, Respiratory function
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원문 및 링크아웃 정보
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등재저널 정보
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