在COVID-19患者中是否存在脱协议? 在一个多专业团队中工作的重要性
E Cavalli1, G Belfiori1, G Molinari2
1Physical Medicine and Rehabilitation Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni N°15, 40138 Bologna, Italy.
为COVID-19 ARDS患者开发了一种新的脱协议,适应了对脑损伤患者的现有方法. 这种标准化的方法可确保安全有效地切除气管管道,改善患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 越来越多的COVID-19急性呼吸窘迫综合征 (ARDS) 的气管切除患者.
- 在这个特定的患者群体中,缺乏用于脱管的既定指南或协议.
- 关于COVID-19患者早期气管切除术结果和脱流程的有限研究.
研究的目的:
- 为COVID-19 ARDS患者开发和实施一个标准化的脱协议.
- 适应现有的严重脑损伤患者的脱管治疗方案,以适应新的患者队列.
- 建立一种安全,可重复和基于证据的气管切除术解管方法.
主要方法:
- 实施一项标准化的脱协议,该协议最初是为严重脑损伤患者设计的.
- 协议适应日常实践,包括使用窗口管,说话门和盖帽.
- 早期激活语音治疗和耳鼻喉科医生评估.
主要成果:
- 成功扩展该协议的适用于COVID-19患者的适用性,长时间安静和通风.
- 通过早期语音治疗,促进管断奶,恢复吞和发音.
- 通过耳鼻喉科医生评估,改善了与输管和通风相关的有机问题的识别和管理.
- 建立更流和有效的多专业管理途径来进行脱.
结论:
- 适应的标准化脱管协议是有效的,适用于COVID-19 ARDS患者.
- 多学科团队的参与,包括语音治疗和耳鼻喉科,对于成功的脱管术至关重要.
- 本协议提供了一种清晰,安全和可重复的方法来管理气管切除术COVID-19患者,增强康复.
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