在COVID-19患者中清醒的倾向性定位的效果-系统性审查
Sachit Anand1, Madhurjya Baishya2, Abhishek Singh3
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Trends in anaesthesia & critical care
|April 15, 2024
概括
在急性呼吸困扰综合征 (ARDS) 的COVID-19患者中,醒着的倾向性定位改善了氧化. 这种方法减少了输管的需要,显示了在COVID-19患者中管理ARDS的希望.
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
- 传染性疾病 传染性疾病
背景情况:
- 建立了倾斜的定位,以减少中度至重度急性呼吸困扰综合征 (ARDS) 的非COVID-19患者的死亡率.
- 关于特别针对患有ARDS的COVID-19患者的清醒proning功效的数据有限.
研究的目的:
- 系统地审查有关ARDS的COVID-19患者清醒易感定位的文献.
- 为了评估醒着proning对输管率,氧化和死亡率的影响.
主要方法:
- 在2020年7月5日之前,对PubMed和谷歌学者进行了系统的搜索.
- 分析了13项研究,其中包括210名患有ARDS的COVID-19患者.
主要成果:
- 在13项研究中,清醒的倾向性定位在11项研究中改善了氧化.
- 输管率为23.80%,死亡率为5.41%.
- 据报道,没有任何严重的并发症与清醒容易定位.
结论:
- 清醒的倾向性定位有效地改善了COVID-19患者的氧化.
- 建议对COVID-19 ARDS进行早期和频繁的清醒调节.
- 需要进一步的随机对照试验来证实这些发现.
关键词:
ARDS,急性呼吸困难综合征,急性呼吸困难综合征COT,传统的氧气疗法.在 COVID-19 疫情中,CPAP,持续的正气道压力.HFNC,高流量鼻腔大管,高流量鼻腔大管HFNO,高流量鼻腔氧的使用.集中治疗室,重症监护室,重症监护室NIV,非侵袭性通风系统没有输入管的非输入管.PP,倾斜的定位位置.预防 预防 预防倾斜的位置 倾斜的位置呼吸系统衰竭 呼吸系统衰竭更多相关视频
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