相关实验视频
Updated: Jul 1, 2025

11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
17.6K
在美国新生儿重症监护病房的非紧急气管管道输液预先治疗
Mahmoud A Ali1,2, Muppala Prasanth Raju3, Greg Miller2
1Pediatrics/Neonatology, West Virginia University, Morgantown, USA.
Cureus
|March 5, 2024
概括
新生儿输管前期治疗在美国未得到充分利用,许多新生儿集中治疗室缺乏标准化的政策,尽管有证明的好处. 当前的做法显示了各种各样的药物使用和组合,强调了需要与AAP一致的协议.
科学领域:
- 新生儿医学 新生儿医学
- 儿科麻醉学 儿科麻醉学
- 临床实践指南 临床实践指南
背景情况:
- 在接受选择性输管治疗的新生儿中,前期药物治疗对于最大限度地减少不良生理事件,如胸肌梗塞和缺氧至关重要.
- 它还显著减少了早产和满期新生儿的手术相关疼痛和不适.
研究的目的:
- 评估当前在美国的新生儿中进行非突发性输管治疗的输管前药物管理实践.
- 在新生儿重症监护病房 (NICU) 中识别前期治疗方案和政策实施的变化.
主要方法:
- 一项横截面调查通过电子邮件发送给美国各医疗保健系统的3级和4级NICU的董事.
- 该调查旨在收集关于前期药物治疗实践,药物选择和书面政策的存在的数据.
主要成果:
- 只有41%的应答NICU经常预先治疗新生儿,21%的新生儿不使用任何常规的输管前药物.
- 芬太尼,阿特罗宾和米达佐拉姆是最常用的药物,通常是两种或三种药物的组合.
- 不到一半 (46%) 的单位有书面政策,这表明实践存在显著的变化.
结论:
- 尽管已确立的好处和美国儿科学会 (AAP) 的建议,但与国际标准相比,美国NICU的前期治疗率呈现停滞不前.
- 在所有美国NICU中采用标准化,与AAP一致的前期治疗政策至关重要.
- 进一步的研究对于监测进展和解决实施基于证据的前医学实践的障碍至关重要.
关键词:
- - 选择性课程芬太尼 (Fentanyl) 是一种药物.遗传的新生儿白化症机械通风 机械通风 机械通风新生儿重症监护病房 (nicu)政策 政策 政策 政策在预化之前,预化.药物治疗前的时间.这是一个程序程序程序.气管的 气管是什么更多相关视频
相关概念视频
Endotracheal Intubation II: Nursing Management
628
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
628
Endotracheal Intubation I: Procedure
1.3K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.3K
Tracheostomy Care I: Pre-procedural Steps
185
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
185
Tracheostomy Suctioning I: Pre-Procedural Steps
547
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
547
Endotracheal Tube Extubation
661
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
661
Trachea
2.0K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.0K

