在COVID-19大流行期间实施成人体外膜氧化计划
Brandy Pitts1, Midge Vaughan, Jamie Kay Roney
1Brandy Pitts is an RN and Midge Vaughan is ECMO program coordinator at Providence Covenant Children's Hospital, Lubbock, TX. Jamie Kay Roney was Texas regional research coordinator at Providence Covenant Health, Lubbock, TX, during implementation of the adult ECMO program and is currently director of nursing professional development at the Texas Nurses Association, Austin. Contact author: Jamie Kay Roney, armygirlrn@aol.com. The authors have disclosed no potential conflicts of interest, financial or otherwise.
本研究概述了成人体外膜氧化 (ECMO) 计划的成功实施,利用体外生命支持组织 (ELSO) 的指导方针. 该计划实现了重症监护的可持续模式,证明了患者的积极结果和对未来的流行病的准备.
科学领域:
- 关键护理医学 关键护理医学
- 心血管外科心血管外科
- 肺部医学 肺部医学
背景情况:
- 一个跨学科的团队在西德克萨斯州第三级护理医院的外科ICU建立了一个成年人体外膜氧化 (ECMO) 计划.
- 该计划的开发以体外生命支持组织 (ELSO) 的指导方针为指导,以满足COVID-19患者的需求.
研究的目的:
- 开发,实施和评估一个成年ECMO计划.
- 为先进的呼吸和循环系统支持建立一个可持续的框架.
主要方法:
- 一个逻辑模型指导了ECMO计划的设计和评估.
- 为重症护理护士和呼吸治疗师创建了一个35小时的ECMO专业培训课程.
- 从2020年9月到2021年12月,使用描述性统计数据追踪了患者的结果,包括生存率和并发症.
主要成果:
- 培训了17名专家,并制定了ECMO启动的协议.
- 测量的主要结果包括ECMO后的生存率,出院后的生存率,并发症率和停留时间.
- 在接受ECMO治疗的9名COVID-19患者中,死亡率为11.11%.
结论:
- 遵守ELSO指南有助于创建一个可持续的ECMO计划.
- 已建立的计划为医院提供了一个模型,以实施成人ECMO服务,即使在资源限制的情况下.
- 这一举措提高了医院对未来需要先进生命支持的公共卫生危机的准备.
相关概念视频
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Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
Venturi Mask
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Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Administering Oxygen by Nasal Cannula
Nasal Cannulas
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