实时摄像头图像引导的鼻肠管放置在易患COVID-19的ICU患者中:一个单中心研究
Yuequn Chen1, Guiqiong Wu1, Chaojun Qu1
1Department of Intensive Care Unit, Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central Hospital, Lishui, China.
Journal of intensive care medicine
|December 18, 2023
概括
实时摄像头引导的鼻肠管安置对于重症COVID-19患者是有效的. 这种方法具有很高的成功率和很短的安置时间,改善了在通风治疗期间的患者护理.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
背景情况:
- 危急的COVID-19患者通常需要纳索肠管放置以获得营养支持.
- 在这些患者中常见的俯卧式通风疗法可能会使输管插入复杂化.
- 评估用于高效和安全安装管道的新技术至关重要.
研究的目的:
- 评估实时摄像机图像引导的鼻肠管放置的临床应用价值.
- 为了比较这种技术与传统的床边盲人插入在COVID-19患者.
- 确定对成功率,时间,并发症和患者生命指标的影响.
主要方法:
- 一项随机对照试验,涉及116名重症监护室 (ICU) COVID-19患者.
- 患者被分为实时摄像头引导 (n=58) 和床边盲人插入 (n=58) 组.
- 测量的主要结果包括成功率,安置时间,并发症,成本和生理参数.
主要成果:
- 实时摄像头引导的组显示出明显更高的成功率和更低的并发症发生率.
- 与盲目插入组相比,图像引导组的放置时间显著减少.
- 两组之间的心率,呼吸率,GCS或APACHE-II得分没有显著差异.
结论:
- 实时摄像头图像引导的鼻肠管放置是ICU COVID-19患者容易通风的高效和安全.
- 该技术提供了诸如高成功率,缩短安置时间和灵活的患者定位等优势.
- 这种方法表现出高效率,安全性和准确性,使其成为重症监护机构中宝贵的工具.
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