在输管新生儿中使用波形图的医院前使用
Krista Hartmann1, Brittney Calatayud1, Avram Flamm1,2,3
1Penn State College of Medicine, Hershey, Pennsylvania.
Prehospital emergency care
|January 23, 2024
概括
与医院前护理中的老年患者相比,新生儿对内管放置的连续端潮二氧化碳 (ETCO2) 监测不足. 这凸显了被直管婴儿的护理标准中的潜在差距.
科学领域:
- 紧急医疗 紧急医疗
- 儿科重症监护 儿科重症监护
- 麻醉学 麻醉学
背景情况:
- 连续波形图是监测成年人内管 (ETT) 放置的标准.
- 新生儿输管带来了挑战,因为潮体积较低和图设备的大部分,风险ETT脱落.
- 与成年人相比,在持续的ETT监测方面,与直管新生儿相比,在护理方面存在潜在的差异.
研究的目的:
- 调查在先医院环境中对被直管的新生儿与其他年龄组的持续的潮尾二氧化碳 (ETCO2) 监测的利用情况.
- 确定新生儿内内管安置验证的护理标准中的潜在差距.
主要方法:
- 从单个空气医疗机构对被直管的患者 (新生儿,儿童,青少年,成年人) 的回顾性图表审查.
- 收集的数据包括输管试验,成功,和图使用.
- 统计分析使用Chi 方位善良度的适应性测试.
主要成果:
- 连续波形ETCO2监测用于62%的成功输管的新生儿,明显低于儿童 (94%),青少年 (95%) 和成年人 (97%).
- 在成人和新生儿 (p=0.013) 之间以及新生儿,儿童和青少年 (p=0.049) 之间,观察到图使用的统计学上显著差异.
结论:
- 持续的ETCO2监测在医院前的设置中未能充分利用被直管的新生儿,这表明护理标准存在差距.
- 需要进一步的研究来证实整个行业的这些发现,并评估对新生儿未被检测到的ETT移位的影响.
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