在儿科病房进行鼻腔CPAP,以减少严重支气管炎的PICU入院?
Melodie O Aricò1, Diana Wrona2, Giovanni Lavezzo2
1Department of Pediatrics, G.B. Morgagni-L. Pierantoni Hospital, AUSL Romagna, 48018 Forli, Italy.
Pediatric reports
|October 24, 2023
概括
婴儿支气管炎的持续正气道压力 (CPAP) 可以在一般儿科病房安全管理. 这种方法可以减少疫情期间儿童重症监护室 (PICU) 的入院.
科学领域:
- 儿科 儿科 儿科
- 呼吸系统医学 呼吸系统医学
背景情况:
- 婴儿急性支气管炎经常需要转移到儿科重症监护室 (PICU) 进行持续的正气道压力 (CPAP) 治疗.
- 在一般儿科病房管理CPAP可以减轻支气管炎爆发期间的PICU压力.
研究的目的:
- 评估在一般儿科病房使用CPAP治疗支气管炎的婴儿的可行性和安全性.
- 评估基于病房的CPAP对PICU入院率的影响.
主要方法:
- 追溯收集2021年10月至2023年3月期间因支气管炎住院的12个月以下婴儿的临床数据.
- 在一般病房接受鼻腔CPAP (nCPAP) 治疗的婴儿和接受其他氧气支持方法或没有支持的婴儿之间的结果比较.
主要成果:
- 在82名婴儿中,16名婴儿接受了nCPAP,只有3名 (19%) 需要因临床恶化而转移PICU.
- 大多数婴儿 (50%) 不需要氧气支持,而其他人则接受了低流量或高流量鼻.
- 没有患有共感染 (RSV/SARS-CoV-2) 或 SARS-CoV-2 感染的婴儿需要氧气支持.
结论:
- 婴儿支气管炎的鼻腔CPAP治疗可以在一般儿科病房环境中安全有效地进行.
- 实施基于病房的CPAP可以显著减少对PICU入院的需求,优化资源配置.
- 成功实施需要全面的员工培训,警的患者监测和与PICU的密切合作.
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