对早产婴儿的现代呼吸护理的发展
Louise S Owen1, Brett J Manley2, Peter G Davis1
1Neonatal Services, The Royal Women's Hospital, Melbourne, VIC, Australia; Newborn Research Centre, The Royal Women's Hospital, Melbourne, VIC, Australia; Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, VIC, Australia; Clinical Sciences, Murdoch Childrens Research Institute, Melbourne, VIC, Australia.
Lancet (London, England)
|April 27, 2017
概括
增加早产率需要改善新生儿呼吸系统护理. 目前的氧疗法和表面活性剂有好处, 但需要进一步研究以优化结果并防止肺损伤, 特别是在高风险的婴儿.
科学领域:
- 新生儿医学
- 呼吸系统护理
- 儿童肺病学
背景情况:
- 全球早产率正在上升,导致新生儿呼吸困难的发生率上升.
- 新生儿呼吸问题的已知治疗方法包括氧疗法,外源表面活性剂,呼吸辅助和产后皮质类固醇.
- 尽管有进展,但支气管肺功能障碍 (BPD) 仍然是新生儿护理的一个重大挑战.
研究的目的:
- 审查新生儿呼吸护理的历史发展.
- 分析当前治疗对婴儿长期结果的影响.
- 确定新生儿呼吸辅助的未来研究方向.
主要方法:
- 对新生儿呼吸护理的历史数据和当前文献的审查.
- 对氧气治疗,表面活性剂替代,呼吸辅助方式和皮质类固醇的疗效和争议的分析.
- 讨论治理支气管肺功能障碍的挑战.
主要成果:
- 尽管使用了几十年,但氧气治疗和监测仍然存在争议.
- 外源表面活性剂显著降低了死亡率,但需要对最佳管理进行进一步研究.
- 非侵袭性呼吸辅助正在成为常规输入管和通风的重要工具.
结论:
- 优化新生儿呼吸系统对早产婴儿至关重要,
- 需要进一步的研究来完善现有疗法的使用和开发新的策略.
- 目的是支持婴儿的呼吸,而不会造成肺部损伤或长期的不良健康影响.
相关概念视频
Acute Respiratory Failure-V
556
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
556
Mechanical Ventilation III: Noninvasive Ventilation
677
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
677
Respiratory Assessment: Purpose and Indications
1.9K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.9K
Respiratory Capacities
1.6K
Respiratory capacities are crucial indicators of lung function, representing the maximum amount of air an individual's respiratory system can handle during various breathing phases.
One key metric is the Inspiratory Capacity (IC), which represents the maximum amount of air that can be inhaled with full effort. IC is calculated by summing the tidal volume and inspiratory reserve volume, typically ranging from 2.4 to 3.6 liters.
The Functional Residual Capacity (FRC) represents the air in the...
One key metric is the Inspiratory Capacity (IC), which represents the maximum amount of air that can be inhaled with full effort. IC is calculated by summing the tidal volume and inspiratory reserve volume, typically ranging from 2.4 to 3.6 liters.
The Functional Residual Capacity (FRC) represents the air in the...
1.6K
Overview of Respiratory System
11.5K
The respiratory system is a complex biological apparatus that facilitates the exchange of gases, specifically oxygen and carbon dioxide, between our bodies and the environment. This system plays a vital role in the physiological process of respiration, an essential function for sustaining life.
What is the Respiratory System?
The respiratory system consists of a series of organs responsible for taking in oxygen and expelling carbon dioxide. The primary function of the respiratory system is to...
What is the Respiratory System?
The respiratory system consists of a series of organs responsible for taking in oxygen and expelling carbon dioxide. The primary function of the respiratory system is to...
11.5K
Respiratory Volumes and Capacities I
1.8K
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
1.8K


