用赫西丁冲洗吸管电路可以减少与呼吸机相关的肺炎:一项准实验性研究
Mohamed H Eid1,2, Monica-Marilena Ţânţu3, Jos M Latour1,4
1School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, United Kingdom.
在资源有限的ICU中,用0.2%的赫西丁葡萄糖酸盐冲洗内吸管显著减少了呼吸器相关的肺炎 (VAP). 这种方法也被证明在管理可重复使用的吸气系统方面具有成本效益.
科学领域:
- 关键护理医学 关键护理医学
- 预防传染病 预防传染病
- 医疗保健经济学 医疗经济学
背景情况:
- 在全球范围内,内吸管吸收实践各不相同,在资源较少的环境中,长时间使用单一导管是常见的.
- 使用赫西丁来消毒重复使用的内吸管系统以预防呼吸器相关肺炎 (VAP) 的有效性尚未得到充分证实.
研究的目的:
- 为了评估0.2%的赫西丁葡萄酸盐在减少机械通风患者在资源有限的ICU中VAP的有效性.
- 评估使用赫西丁用于冲洗多用途内吸管系统的成本效益.
主要方法:
- 一项准实验性随机对照试验涉及136名ICU患者,其中干预组68名,对照组68名.
- 干预组的吸管管和系统用40毫升0.2%的素酸盐冲洗,而对照组使用普通盐水.
- 主要结果是VAP发生率,冲洗解决方案成本作为次要结果.
主要成果:
- 与对照组 (42.6%) 相比,干预组的VAP发病率明显较低 (22.1%) ,p=0.01.
- 晚期发病的VAP比率为26.2% (干预) 与49% (对照) (p=0.026),早期发病的VAP比率为13.2%与25% (p=0.081).
- 赫西丁葡萄酸盐显著降低了冲洗成本 (中位数为78.4 EGP与300 EGP相比,p<0.001).
结论:
- 用0.2%的赫西丁葡萄酸盐冲洗多用内吸管,可能会降低机械通风患者的VAP发病率.
- 0.2%的基酸为资源有限的ICU吸入系统冲洗提供了具有成本效益的替代方案.
- 在资源有限的环境中,使用可重复使用的吸管的医疗保健提供者可能会考虑使用赫西丁进行冲洗.
更多相关视频
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
09:28Intravital Widefield Fluorescence Microscopy of Pulmonary Microcirculation in Experimental Acute Lung Injury Using a Vacuum-Stabilized Imaging System
Published on: April 6, 2022
相关概念视频
Suctioning the Nasopharyngeal Airway
Equipment Required
Suctioning the Oropharyngeal Airway
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Tracheostomy Suctioning II: Procedure
Tracheostomy Suctioning I: Pre-Procedural Steps
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Hand hygiene
Hand washing...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
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,...
