开发护士领导的儿童磁共振成像镇静服务
M R Sury1, D J Hatch, T Deeley
1Department of Anaesthesia, Great Ormond Street Hospital for Children NHS Trust, London, UK. mike.sury@gosh-tr.nthames.nhs.uk
一个由护士领导的镇静服务安全有效地使儿科患者能够接受MRI扫描. 这种方法减少了麻醉需求,并改善了患者获得必要的成像手术的机会.
科学领域:
- 儿科成像学 儿科成像学
- 镇静管理 镇静管理
- 医疗保健服务 医疗保健服务
背景情况:
- 儿科磁共振成像 (MRI) 通常需要镇静或麻醉,以使患者无法移动.
- 麻醉资源有限,MRI需求增加,需要有效的镇静策略.
- 以前的镇静疗法导致了高度的麻醉需求和延长的等待时间.
研究的目的:
- 评估护士领导的儿童MRI镇静服务的安全性和有效性.
- 评估专用镇静服务对麻醉资源利用的影响.
- 为了确定护士对儿科MRI进行镇静的成功率和并发症率.
主要方法:
- 一个由护士领导的镇静服务在MRI扫描仪旁边的一个专用单元的前性审计.
- 使用基于患者体重和年龄的标准化口服药物治疗方案.
- 在整个镇静过程中,护士管理患者的适合性,药物管理和持续监测.
主要成果:
- 在30个月内进行了1155次镇静,失败率为5%.
- 没有记录任何与气道或呼吸并发症相关的不良事件.
- 所有的孩子都能通过在被要求时打开嘴巴来维持他们的呼吸道.
结论:
- 护士主导的镇静服务是儿科MRI的安全和成功模式.
- 该服务有效地解决了麻醉资源限制和MRI等待时间的挑战.
- 这些发现支持在儿科成像中实施类似的护士领导的镇静计划.
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