在目标温度管理过程中实施逐步动协议
Czarina A Bock1, Whitney G Medford1,2, Emily Coughlin3
1Pharmacy Department, Tampa General Hospital, Tampa, FL, USA.
Journal of pharmacy practice
|August 8, 2023
概括
在心脏骤停后,针对性温度管理 (TTM) 期间管理动的新阶段性协议显示了潜在的益处. 虽然没有统计学意义,但它改善了达到目标温度的时间,增加了护理人员的信心,同时减少了高风险药物使用.
科学领域:
- 关键护理医学 关键护理医学
- 心血管研究研究心血管研究
- 神经学 神经学
背景情况:
- 是心脏骤停后针对性温度管理 (TTM) 的常见并发症.
- 在TTM期间预防和管理的最佳策略尚未确立.
- 有效的控制对于成功的TTM结果至关重要.
研究的目的:
- 评估一个阶段性发管理协议对达到目标温度的影响.
- 评估用于控制的药物使用的变化.
- 确定该协议对护理人员对控制发的信心的影响.
主要方法:
- 对接受TTM (2016-2021) 的心脏骤停后患者的回顾性图表审查.
- 在逐步实施协议之前和之后的目标温度的时间比较.
- 对药物使用和护理信心数据的分析,协议前和后.
主要成果:
- 目标温度的中位时间在协议后 (165分钟) 与协议前 (195分钟) 相比较短,尽管在统计学上并不显著 (p=0.190).
- 在治疗后观察到,乙氨基,巴斯皮龙,和芬太尼的使用显著增加.
- 在治疗后,护士对控制的信心从38.5%增加到60% (p=0.306).
结论:
- 循序渐进的发协议显示了改善目标温度的时间的趋势.
- 该协议与减少使用高风险药物来控制发有关.
- 该协议的实施增强了护士对在TTM期间控制的信心.
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