在ICU资源短缺期间,严重支气管炎的临床护理
Daniele De Luca1,2, Lucilla Pezza1, Laura Vivalda1
1Division of Paediatrics and Neonatal Critical Care, "A. Béclère" Hospital, APHP-Paris Saclay University, Paris, France.
EClinicalMedicine
|February 9, 2024
概括
季节性支气管炎的爆发使重症监护室 (ICU) 受到压力. 本综述提供了临床和公共卫生策略,以优化呼吸系统护理,最大限度地减少ICU停留,并为高需求时期准备ICU.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 公共卫生 公共卫生
- 卫生系统管理管理卫生系统管理
背景情况:
- 支气管炎的爆发对医疗保健系统,特别是重症监护室 (ICU) 造成了重大压力.
- 严重的支气管炎病例需要进入ICU进行呼吸辅助,携带大量死亡的风险.
- 现有的研究往往忽视了ICU入院患者和公共卫生影响.
研究的目的:
- 提供ICU中支气管炎管理的多学科审查.
- 分析临床和公共卫生观点,包括病理生理学和成本效益.
- 为优化ICU资源利用和疫情准备提供指导.
主要方法:
- 综合临床和公共卫生观点的多学科审查.
- 基于病理生理学和成本效益的分析.
- 关于重症支气管炎的ICU管理的文献综合.
主要成果:
- 确定优化呼吸系统护理和减少ICU停留时间的策略.
- 为保护重症儿童的ICU床位可用性的建议.
- 准备ICU应对疫情情况和预防医院感染的指导.
结论:
- 优化呼吸系统护理和ICU管理可以减轻支气管炎爆发的影响.
- 积极的准备和资源管理对于面临大量患者数量的ICU至关重要.
- 减少ICU停留时间和防止交叉污染是保持患者安全和系统容量的关键.
相关概念视频
Acute Respiratory Failure-V
139
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
139
COPD: Management Using Bronchodilators and Corticosteroids
206
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
206
Acute Respiratory Failure-III
186
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
186
Pneumonia IV: Management
327
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
327
Pneumonia V: Nursing management and Prevention
2.1K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.1K
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K


