使用远程医疗,实时审计和临床医师遵守反 (TEACH) 进行协调自发觉醒和呼吸试验的实施:II型混合疗效-实施集群-随机试验
Colin K Grissom1,2,3, Richard Holubkov4, Lori Carpenter5
1Department of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, UT, 84107, USA. colin.grissom@imail.org.
Implementation science : IS
|September 22, 2023
概括
远程医疗干预可以改善对有呼吸的ICU患者进行协调自发唤醒和呼吸试验的坚持. 这种方法通过减少机械通风持续时间和改善死亡率来改善患者的结果.
科学领域:
- 实施科学 实施科学
- 在重症监护中的远程医疗.
- 机械通风管理系统的管理
背景情况:
- 机械通风需要镇静和镇痛,但长时间使用会增加肺炎和妄想等风险.
- 协调自发唤醒试验 (SAT) 和自发呼吸试验 (SBT) 改善了结果,但面临实施挑战.
- 远程医疗为改善SAT和SBT的协调和遵守提供了一个解决方案.
研究的目的:
- 评估远程医疗增强审计和反的有效性,以协调SAT和SBT遵守.
- 为了比较远程医疗干预与常规的监督领导的审计和反在机械通风患者.
主要方法:
- 一个混合型II集群随机临床试验,涉及12家医院和15个重症监护室.
- 干预组接受了远程健康增强实时审计和反;对照组接受了通常的审计和反.
- 16岁及以上33个月以上的机械通风患者的招募.
主要成果:
- 该研究旨在确定远程医疗干预是否产生更高的协调SAT和SBT遵守.
- 主要结果是接受远程医疗干预的患者无呼吸器日数增加.
结论:
- 该TEACH研究将提供有关实施远程医疗的见解,以改善对协调SAT和SBT的遵守.
- 调查结果将为策略提供信息,以提高重症监护服务和患者的治疗结果.
更多相关视频
相关概念视频
Nursing Implementation
5.1K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.1K
Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
Sleep Apnea
177
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
177
Neural Control of Respiration
2.6K
The neural regulation of respiration is a meticulously coordinated process primarily controlled by the respiratory centers located within the brainstem. These centers, composed of specialized neurons, transmit nerve impulses that control the contraction and relaxation of our respiratory muscles.
Respiratory Centers in the Brainstem
Two primary areas comprise the respiratory center: the medullary respiratory center in the medulla oblongata and the pontine respiratory group in the pons. The...
Respiratory Centers in the Brainstem
Two primary areas comprise the respiratory center: the medullary respiratory center in the medulla oblongata and the pontine respiratory group in the pons. The...
2.6K


