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在神经系统受损的儿科直管患者中选择合适的外科呼吸道的流程图:一个病例系列
Mitsuyoshi Imaizumi1, Kazuhide Suyama2, Aya Goto3
1Fukushima Medical University, School of Medicine, Department of Otolaryngology, Fukushima, Japan.
Brazilian journal of otorhinolaryngology
|July 19, 2023
概括
一个新的流程图有助于为需要长期通风的神经障碍儿科患者选择手术呼吸道. 这种工具可以改善医疗专业人员和护理人员的决策和满意度.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 手术气道管理手术气道管理
背景情况:
- 神经系统受损儿童的生存率增加需要长期的机械通风和气管切除术.
- 在这些脆弱患者的手术气道安置的最佳时间和方法方面缺乏共识.
研究的目的:
- 开发和评估一个流程图来选择神经障碍儿科患者 (NIPPs) 的外科呼吸道.
主要方法:
- 创建了一个流程图,包括患者的背景,输管时间,预后和吸收史.
- 调查评估了儿科医生对手术气道选择和儿科医生和护理人员流程图适当性的儿科医生观点.
主要成果:
- 21名NIPP接受了手术;24名参与者 (14名儿科医生,10名护理人员) 完成了调查.
- 儿科医生报告说,在手术选择气道时,他们经常做出困难的决定.
- 所有参与者都对使用流程图的决策过程和术后结果表示满意.
结论:
- 开发的流程图对于在NIPP中选择适当的外科呼吸道是有效的.
- 使用流程图可以提高儿科医生和护理人员对决策和术后护理的满意度.
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