在重症监护中使用枕的安全性和可用性:范围审查
Mathilde R Desselle1, Fiona Coyer2, Isabel Byram3
1Herston Biofabrication Institute, Metro North Health, Herston QLD 4029 Australia; Faculty of Engineering, Queensland University of Technology, Brisbane QLD 4000 Australia; School of Medicine, The University of Queensland, Herston QLD 4006 Australia.
概括
舒适枕对于呼吸衰竭患者至关重要,但标准的泡类型会导致面部压力损伤. 更安全的替代品,如内存泡和空气电池设备,需要更多的研究来确定重症监护的可用性.
科学领域:
- 临界护理医学 临界护理医学
- 患者安全 患者安全
- 医疗器械设计 医疗器械设计
背景情况:
- 在被直管患者的严重呼吸衰竭中,proning是至关重要的.
- 定位设备,包括修剪枕头,可能会导致压力损伤.
- 有限的研究存在于proning枕头和压力损伤的发展.
研究的目的:
- 审查关于密集护理中枕的安全性和可用性的证据.
- 为了识别枕的类型及其与压力损伤的关联.
- 探索枕设计和选择的潜在改进.
主要方法:
- 进行了对文献的范围审查.
- 在PubMed,Scopus和EMBASE数据库中进行了搜索.
- 根据PRISMA扩展范围审查指南,包括20项研究.
主要成果:
- 标准的泡修剪枕头是最常见的,并且与大多数面部压力损伤有关.
- 基于内存泡和头盔的系统显示出更好的压力分布的潜力,但缺乏可用性数据.
- 由于有限的研究和成本问题,充气气细胞设备的利用不足.
结论:
- 关于枕安全性和重症监护中的可用性的证据有限.
- 需要进一步的研究来提高压力伤害预防和用户体验.
- 人体工程学参数应指导设备的选择和设计.
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