长时间的机械通风,断奶,以及气管切除术的作用
1Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, 57 Waterloo Road, London SE1 8WA, UK; Department of Critical Care and Lane Fox Unit, Guy's & St Thomas' NHS Foundation Trust, King's College London, 57 Waterloo Road, London SE1 8WA, UK.
Critical care clinics
|March 3, 2024
概括
大约5-10%的重症成年人需要长时间的机械通风,往往有更糟糕的结果. 结构化,个性化,以团队为基础的方法对于管理这些复杂的案件至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 重症监护病房 (ICU) 管理管理
背景情况:
- 长时间的机械通风 (PMV) 影响5-10%的严重病情的成年人.
- 与短期通风相比,PMV与较差的长期结果有关.
- 患者,疾病和医疗保健系统因素影响PMV结果.
研究的目的:
- 强调需要基于证据的干预措施,以长时间的机械通风.
- 为了强调缺乏针对特定PMV护理活动的最终试验.
- 倡导对PMV患者护理采取结构化,个性化和多学科的方法.
主要方法:
- 文献综述和对长期机械通风的当前知识的综合.
- 对危急病患者需要机械支持的结果影响因素的分析.
- 确定有关PMV的具体干预措施的研究缺口.
主要成果:
- 患者和组织因素对那些需要长期机械通风的人的结果产生重大影响.
- 关键干预措施 (断奶,呼吸道管理,营养,康复) 的最终临床试验显著缺失.
- 当前的护理模式可能无法充分满足PMV患者群体的独特需求.
结论:
- 对于需要长期机械通风的患者来说,制定一个结构化,个性化的护理计划是必不可少的.
- 多学科的团队合作,包括患者和家人的参与,至关重要.
- 迫切需要进一步的研究和试验,以优化PMV患者的护理和改善PMV患者的治疗结果.
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