相关实验视频
Updated: Jul 25, 2025

11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
17.6K
家庭价值观和体验导航轨道 (HomeVENT):支持有关儿科家庭通风的决策
Renee D Boss1,2, Holly H Vo3, Nicholas A Jabre4
1Pediatrics, Johns Hopkins School of Medicine, 200 N. Wolfe Street, Baltimore 21287, USA.
PEC innovation
|June 29, 2023
概括
在HomeVENT试点研究中,证明了对儿科家庭通风决策的系统方法的可行性和可接受性. 这种方法通过在临床环境中优先考虑家庭价值观来加强共享决策.
科学领域:
- 儿科重症监护 儿科重症监护 儿科重症监护
- 分享决策的共同决策
- 医疗服务研究 医疗服务研究
背景情况:
- 儿科家庭通风的决定是复杂的.
- 家庭和临床医生需要为这些选择提供结构化的支持.
- 当前的决策过程可能没有充分纳入家庭价值观.
研究的目的:
- 试验HomeVENT系统的可行性和可接受性.
- 评估一个系统的方法,用于家庭诊所的决策,关于儿科家庭通风.
- 评估干预对决策过程的影响.
主要方法:
- 在3个中心使用了前/后队列设计.
- 家庭干预包括一个网站,问题提示表 (QPL) 和采访.
- 临床干预涉及结构化的团队会议,重点是家庭价值观.
主要成果:
- 30个家庭和34名临床医生被录取.
- 家庭报告说,干预有助于考虑选择和了解生活影响.
- 临床医生发现,团队会议提高了对预后和治疗优先级的清晰度.
结论:
- 在HomeVENT试点研究是可行的和可接受的.
- 系统方法有效地优先考虑儿童家庭通风决策中的家庭价值观.
- 这种新的方法在苛刻的临床环境中增强了共享决策的严谨性.
相关概念视频
Factors Affecting Pulmonary Ventilation
1.5K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.5K
Assessment of Ventilation I: Respiratory Rate
1.2K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
1.2K
Mechanical Ventilation I: Indication and Settings
532
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
532
Respiratory Assessment: Purpose and Indications
1.1K
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...
1.1K
Mechanical Ventilation III: Noninvasive Ventilation
154
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...
154
Acute Respiratory Failure-V
166
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...
166

