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Capnographic documentation of nasoesophageal and nasogastric feeding tube placement in dogs 总被引:1,自引:0,他引:1
Paula A. Johnson DVM F. A. Mann DVM MS DACVS DACVECC John Dodam DVM MS PhD DACVA Keith Branson DVM MS DACVA Colette Wagner-Mann DVM PhD Mark A. Brady DVM Elizabeth Dunphy DVM 《Journal of Veterinary Emergency and Critical Care》2002,12(4):227-233
Objective: To evaluate the ability of capnography to document proper placement of nasoesophageal (NE) and nasogastric (NG) feeding tubes. This study was conducted in 3 phases. Phase I of this study was designed in order to test the efficacy of capnography to distinguish placement of a feeding tube in the alimentary tract versus the respiratory tract. Phase II was designed in order to document that carbon dioxide (CO2) could be measured through a polyvinyl chloride (PVC) feeding tube. Phase III was performed in order to evaluate the technique of continuous monitoring during insertion of the feeding tube into the esophagus and stomach as would be performed during a clinical‐tube placement. Design: Prospective study. Setting: Research laboratory. Animals: 24 adult dogs. Interventions: In Phase I, sedated dogs were instrumented with an intratracheal catheter and an 8 French feeding tube placed nasally into the distal esophagus and later advanced into the stomach. In Phase II, dogs were anesthetized and an 8 French feeding tube was placed down the endotracheal tube, then into the esophagus and later advanced into the stomach. In Phase III, sedated dogs were instrumented with an 8 French feeding tube inserted intranasally and then advanced to the level of the nasopharynx, distal esophagus and, lastly, the stomach. Fluoroscopy was used in order to determine location of the feeding tube. Measurements and main results: Phase I measurements included respiratory rate and CO2 from the trachea, esophagus, and stomach and pH of gastric fluid sample. Phase II measurements included respiratory rate and CO2 from the endotracheal tube, feeding tube in the endotracheal tube, feeding tube in the distal esophagus, and feeding tube in the stomach. Phase III data collection included respiratory rate and CO2 as the tube was passed through the nasal cavity, nasopharynx, esophagus and stomach. Phase I fluid samples were collected from 5 of the 9 dogs and had pH values from 1.68 to 4.20. In both phases, values for the respiratory rate and CO2 from the esophagus and stomach were 0 ± 0, significantly lower (P < 0.001) than the values from the trachea. In Phase II, there was no significant difference between the respiratory rates (P = 0.886) and CO2 (P = 0.705) readings obtained from the endotracheal tube compared to readings from the feeding tube in the endotracheal tube. In Phase III, there was a significant difference (P < 0.001) between the respiratory rates and CO2 readings obtained from the nasal cavity and the nasopharynx when compared to those readings obtained from the esophagus and stomach. Measurement of CO2 and respiratory rate resulted in a reading of 0 every time the feeding tube was in the esophagus or stomach. Conclusions: Capnography may be used in order to detect airway placement of NE and NG tubes. 相似文献
3.
A semi-energy method to analyse the buckling behaviour of edge-stiffened plates under combined compression and bending is presented in this paper, One unloaded edge of the plate is restrained elastically against rotation and the other is stiffened by a st 相似文献
4.
本文在文献[1]基础上,运用金相,电化学方法研究了50Mn18Cr4电机护环钢依照QHJ-79试验标准在硝酸盐介质中应力腐蚀开裂(即SCC)的性质,结果指出,此体系中SCC的控制过程为阳极溶解。 相似文献
5.
对哈尔滨市工农兵钢箱索梁桥的模型进行了试验和分析。结果表明,该桥设计采用的理论与试验结果基本相符,为桥梁的修复设计提供了可靠依据。 相似文献
6.
The formulas of the total potential energy of arbitrary thin- walled open cross section member counting in the geometric non-linear factors is deduced. The deductions are based on the most general finite deformation theory and the two assumptions that"the 相似文献
7.
本文根据履带板的失效特征和机理,提出了高锰钢的铬、钼再合金化,稀土、钛变质处理和重结晶热处理工艺综合强韧化方案.经实验证实,综合机械性能显著改善. 相似文献
8.
苹果自花授粉的花粉管结构变化及S-RNase定位 总被引:4,自引:0,他引:4
苹果‘红星’品种授粉处理24 h后, 自花授粉比异花授粉的花粉管生长缓慢。授粉处理48 h后, 可观察到自花授粉花柱通道组织的花粉管内有二裂粒子增加、管壁破裂和管内物质溢出、外层管壁增厚等现象。苹果气球状花期未授粉的花柱及自花和异花授粉24 h后且无花粉管存在的花柱切片显示, S-RNase位于花柱通道组织的细胞内。自花和异花授粉48 h后有花粉管通过的花柱切片显示, S-RNase位于花柱通道组织的细胞间隙和花粉管内。 相似文献
9.
香菇烂筒病因与综合防治研究 总被引:2,自引:0,他引:2
本文通过对香菇烂筒重灾区进行生态环境、气象、植保等方面调查,应用微生物分离技术,对烂筒样品和土壤样品进行致烂菌的分离、筛选和回接试验,从中确定致烂菌菌株的分类地位和基本生物学特性,从而研制防治香菇烂筒的生态、物理和药物防治技术,提出综合治理措施。 相似文献
10.
针对宁夏地区农民传统住宅抗震性差,建筑外围护结构保温性能差,采暖系统能源消耗量大,环境污染严重等问题,提出采用轻钢结构配以轻质保温板材的轻钢结构抗震节能体系,以期为宁夏农村住宅设计提供指导性建议。 相似文献