为严重的COVID-19患者构建和应用倾斜位置通风管理方案
Xiuwen Chen1,2,3,4, Cao Peng1,5, Yao Xiao4
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Frontiers in physiology
|September 11, 2023
概括
一个新的易受通风管理方案显著改善了严重的COVID-19患者的氧化. 这种方案减少了压力和面部等并发症,提高了躺着呼吸过程中的患者安全.
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
- 传染性疾病 传染性疾病
背景情况:
- 俯卧式通风 (PPV) 可以改善ARDS患者的氧化,但其风险高达56.9%.
- 减少PPV相关的并发症和提高患者安全是关键的护理管理目标.
研究的目的:
- 为严重的COVID-19患者开发和评估易受通风管理方案.
- 分析该方案对氧化和并发症率的影响.
主要方法:
- 使用基于证据的实践和COVID-19治疗指南创建了一个协议.
- 一项前性自我控制研究比较了在ICU患者实施协议之前和之后的结果.
- 关键指标包括氧化指数和并发症发生率.
主要成果:
- 干预后氧化指数显著增加 (321.22 ± 19.77 mmHg与151.59 ± 35.49 mmHg相比).
- 并发症发生率下降:压力 (13.64%),药物扩散 (4.54%) 和面部 (4.54%).
- 在职业暴露,交叉感染,无计划的输出管,吸气和跌倒方面报告了零发病率.
结论:
- 开发的易受通风管理方案有效地改善了严重的COVID-19患者的氧化.
- 该方案成功降低了PPV相关并发症的发生率,提高了患者的安全.
- 这种基于证据的方法为管理需要易于通风的严重COVID-19患者提供了有价值的策略.
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