为早产婴儿带有呼吸功能障碍的自动化氧气输送
Isabella G Stafford1, Nai Ming Lai2, Kenneth Tan3,4,5
1University of Tasmania, Hobart, Australia.
The Cochrane database of systematic reviews
|November 30, 2023
概括
自动化氧气输送系统可能会改善需要呼吸辅助的早产婴儿的氧气和水平. 然而,目前的证据不足以证实显著的临床益处或对早产严重视网膜病变的影响.
科学领域:
- 新生儿护理 新生儿护理
- 呼吸系统的支持呼吸系统的支持
- 医疗器械技术 医疗器械技术
背景情况:
- 过早出生的婴儿往往需要呼吸支来维持最佳的氧气水平,因为偏差会导致不良结果.
- 在新生儿重症监护室 (NICU) 中,定位氧气疗法具有挑战性,特别是在人员有限的情况下.
研究的目的:
- 评估为需要呼吸辅助的早产婴儿提供自动化氧气输送系统的益处和危害.
- 将自动化系统与手动输送氧气的系统进行比较,并将不同自动化系统进行对比.
主要方法:
- 随机对照试验和交叉试验的系统审查和元分析.
- 包括的研究比较了自动与手动输送氧气或不同的自动化系统.
- 主要结局包括所需氧和度 (SpO2) 范围内的时间,死亡率,早产严重视网膜病变 (ROP) 和神经发育结局.
主要成果:
- 与例行手动输送相比,自动输送氧气可能会在所需的SpO2范围内增加时间 (中等确定性证据).
- 关于严重ROP的证据的确定性很低,几乎没有差异.
- 没有足够的证据来比较增强的手动交付或不同自动化系统.
结论:
- 自动化氧气输送可能会改善早产婴儿的SpO2范围时间,但临床益处尚不确定.
- 需要对临床结果如死亡率,ROP和神经发育进行更多的研究.
- 未来的试验应侧重于并行组设计,并清楚地报告人员配置水平以供上下文.
相关概念视频
01:16Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
622
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
622
01:26Oxygen Delivering System I: Nasal Cannula and Face Mask
349
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
349
01:30Administering Oxygen by Mask
378
Administering Oxygen by Mask
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:
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:
378
01:16Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
229
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
229
01:23Oxygen Delivering System III: Tracheostomy and T-piece
1.0K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
1.0K
01:19Respiratory 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