通过直升机空中运输患者使用高流量鼻:一个案例报告
Francisco Das Neves Coelho1,2, Rui Alves1, Carlos Raposo1
1Helicopter Emergency Medical Services, Instituto Nacional de Emergencia Medica, Lisboa, PRT.
Cureus
|August 4, 2023
概括
在航空医疗运输期间,高流量鼻为严重呼吸衰竭的侵入性通风提供了安全的替代方案. 这种方法可能有利于特定的患者群体,改善重症监护场景的结果.
科学领域:
- 紧急医疗 紧急医疗
- 肺部病理学 肺部病理学
- 关键的护理关键的护理
背景情况:
- 传统的医院外治疗严重急性呼吸衰竭依赖于输管和侵入性机械通风.
- 非侵入性呼吸辅助方法对急性和慢性呼吸衰竭是有效的,但由于安全和后勤问题,以前没有考虑空中医疗运输.
- 担忧包括飞行期间的气道安全,有限的氧气供应,以及在空中医疗环境中缺乏经验.
研究的目的:
- 评估在医院间空中医疗运输过程中使用高流量鼻用于呼吸支的可行性和安全性.
- 介绍一个成功运输的案例报告,使用高流量鼻氧疗法在患有末期肺部疾病的患者身上.
主要方法:
- 一个病例报告详细介绍了一个患有末期肺部疾病的患者的医院间直升机运输.
- 在运输过程中使用高流量氧气管进行呼吸辅助.
- 专注于在移植前的环境中管理严重急性呼吸衰竭.
主要成果:
- 患有末期肺部疾病的患者通过直升机成功运送.
- 在空中医疗运输过程中,高流量鼻的使用在没有重大并发症的情况下得到实施.
- 在这个特定的重症监护场景中,证明了侵入性通风的可行替代方案.
结论:
- 在空中医疗运输期间,高流量鼻可以安全地用于选择患者的呼吸衰竭管理.
- 本案例报告表明,在重症监护航空运输中,可能会扩大非侵入性通风策略.
- 对空中医疗运输中高流量鼻管的应用进行进一步的研究是有必要的.
关键词:
航空医疗运输 航空医疗运输航空运输 航空运输 航空运输一架直升机的EMS.子的边缘是这样的医院间运输 医院间运输无侵袭性通风系统 无侵袭性通风系统运营战略 战略 运营战略在医院以外的医院.患者救援 患者救援更多相关视频
05:46A Novel Inhalation Mask System to Deliver High Concentrations of Nitric Oxide Gas in Spontaneously Breathing Subjects
Published on: May 4, 2021
4.9K
05:43Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
16.7K
相关概念视频
01:29Administering Oxygen by Nasal Cannula
689
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
689
01:26Oxygen Delivering System I: Nasal Cannula and Face Mask
386
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
386
01:29Suctioning the Nasopharyngeal Airway
507
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
507
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
20
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
20
01:16Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
691
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
691
01:21Tracheostomy Decannulation
237
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
237