在COVID-19的通风ICU患者中进行机器人辅助床上动员:一种干预性,随机化,受控试验研究 (ROBEM II研究)
Marco Lorenz1,2, Felix Baum1, Philipp Kloss1
1Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Department of Anesthesiology and Intensive Care Medicine (CCM/CVK), Berlin, Germany.
Critical care medicine
|January 18, 2024
概括
机器人辅助动员对于机械通风的重症COVID-19患者来说是安全和可行的. 与标准护理相比,这种干预显著增加了动员会话和时间.
科学领域:
- 临界护理医学 临界护理医学
- 康复机器人 康复机器人
- 传染病管理 传染病管理
背景情况:
- 随着COVID-19大流行,医疗保健系统受到压力,特别是机械通风患者.
- 在重症监护室 (ICU) 内的有限流动性可能会导致不良结果.
- 评估早期动员的新型干预措施至关重要.
研究的目的:
- 评估机器人辅助动员在重症COVID-19患者中的可行性和安全性.
- 为了比较机器人辅助和标准护理之间的动员水平和结果.
主要方法:
- 一项随机控制的试点研究在四个COVID-19专业ICU中进行.
- 包括20名急症COVID-19患者,需要机械通风.
- 一项为期5天的干预涉及与标准护理相比,每天两次进行机器人辅助的动员会.
主要成果:
- 机器人辅助的动员是可行的,有98.9%的人遵守协议.
- 虽然初级流动性得分 (IMS,SOMS) 没有显著差异,但干预组的会议数量更多 (8.5与4.5),总流动时间更长 (232.5分钟与147.5分钟).
- 干预组中发生了四次轻微安全事件 (高血压,激动);对照组中没有.
结论:
- 机器人辅助动员是机械通风COVID-19患者的安全和可行的策略.
- 干预显著增加了动员的频率和持续时间.
- 进一步的研究可以探索优化这种方法以改善患者的治疗结果.
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