经急性昼夜非侵入性呼吸干预后的使用和结果:简要报告
Jane E O'Brien1, Helene M Dumas2, M Laurette Hughes2
1Franciscan Children's Hospital, Boston, MA, USA.
Journal of pediatric rehabilitation medicine
|April 5, 2024
概括
非侵入性呼吸干预 (NIRI) 的使用在早产婴儿和患有医疗复杂性 (CMC) 的儿童在急性后护理中白天和夜晚之间有所不同. 两组人在逗留期间都实现了NIRI的降低.
科学领域:
- 儿科 儿科 儿科
- 呼吸系统医学 呼吸系统医学
- 关键的护理关键的护理
背景情况:
- 非侵入性呼吸干预 (NIRI) 对早产婴儿和患有医疗复杂性 (CMC) 的儿童至关重要.
- 了解在急性护理后医院 (PACH) 环境中白天和夜晚的NIRI使用模式,对于优化患者的治疗结果至关重要.
- 日间和夜间的入院和出院之间的NIRI要求的差异没有得到充分的记录.
研究的目的:
- 描述日间和夜间使用NIRI的情况.
- 评估NIRI对早产婴儿和PACH入院期间CMC的结果.
- 为了比较日夜之间的NIRI类型和有效性.
主要方法:
- 追溯检查38名早产婴儿 (n=19) 和CMC (n=19) 的PACH病例,需要NIRI.
- 在入院和出院时,按类型 (补充氧气,正气道压力 (PAP)) 分析白天和夜间的NIRI使用情况.
- 评估NIRI结果 (减少,增加,没有变化) 从录取到解除.
主要成果:
- 在白天和夜间的NIRI使用中观察到显著差异 (p<0.001).
- 补充氧气是白天最常见的NIRI,而晚上最常见的是PAP.
- 阳性变化 (减少NIRI) 发生在18%的白天和24%的夜晚;29%的患者在出院时不需要白天NIRI.
结论:
- 在PACH设置中,NIRI使用模式在白天和晚上对于CMC有显著的差异.
- 在早产婴儿和CMC中,在白天和晚上实现了NIRI的减少.
- 这些发现凸显了根据一天中的时间来定制NIRI策略的必要性,以改善患者管理.
相关概念视频
Mechanical Ventilation III: Noninvasive Ventilation
111
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
111
Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
Acute Respiratory Failure-V
137
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...
137
Acute Respiratory Failure-IV
154
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
154
Suctioning the Nasopharyngeal Airway
396
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
396
Endotracheal Intubation II: Nursing Management
612
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...
612


