在儿科重症监护运输过程中使用高流量鼻的分析
David Kemper1, Stephen Pfeiffer2, Jenifer Pannullo1
1Department of Transport, Children's Mercy Hospital, Kansas City, MO.
Air medical journal
|September 16, 2023
概括
高流量鼻腔管 (HFNC) 对于儿科重症监护运输是安全有效的. 这项研究发现,在入院后24小时内没有进行输管,支持HFNC在这个人群中使用.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统支持 呼吸系统支持
- 紧急医疗服务 紧急医疗服务
背景情况:
- 关于高流量鼻腔管 (HFNC) 在儿科设施间重症监护运输中使用的研究有限.
- HFNC越来越多地用于重症儿童的呼吸系统支持.
研究的目的:
- 描述HFNC在儿科患者的使用过程中在设施间的重症监护运输.
- 评估需要在住院24小时内升级呼吸支的需要.
主要方法:
- 一个15个月的儿科运输的回顾性图表审查 (2019年1月 - 2020年3月).
- 纳入标准:年龄大于30天至18岁的患者需要在运输过程中达到4L/分钟以上的HFNC.
- 收集关于HFNC使用,患者人口统计和入院后呼吸支升级的数据.
主要成果:
- 在6279次运输中,有358名儿科患者符合纳入标准.
- 年龄中位数:0.7岁;体重中位数:8.4公斤;HFNC流量中位数:10升/分钟.
- 33%的患者需要在入院后升级护理;0%的患者需要在24小时内输管.
结论:
- HFNC是一种安全有效的呼吸支方法,用于儿科设施间的重症监护运输.
- 数据支持小儿科患者 (<10公斤) 的HFNC利用率为1-2 L/kg/min.
- 建议进行进一步的多中心研究,以探索使用先进电路和雾化器的HFNC.
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