易于运输到一个ECMO中心
Anton Nikouline1, Lorenzo Del Sorbo2, John T Granton2
1Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Canada.
运输严重的急性呼吸困扰综合征 (ARDS) 患者容易进入体外膜氧化 (ECMO) 中心是可行的. 这项案例研究表明,使用最少的调整,安全的易感运输,可能改善关键ARDS患者的氧化.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统医学 呼吸系统医学
- 运输医学 运输医学
背景情况:
- 急性呼吸困难综合征 (ARDS) 具有较高的ICU入院率和死亡率.
- 倾斜的定位改善了中度至重度ARDS的结果.
- 身体外膜氧化 (ECMO) 是耐火性低氧症的标准.
研究的目的:
- 描述一个ARDS患者躺着的安全运输到ECMO中心.
- 评估在重症ARDS患者的设施间运输过程中倾斜定位的可行性.
主要方法:
- 一份病例报告,详细说明了ARDS患者的运输情况.
- 使用了对标准救护车运输协议的最小特设调整.
- 在整个转移过程中,患者一直保持卧床姿势.
主要成果:
- 病人被安全地运送到躺着的位置.
- 在运输过程中没有发生任何重大不良事件.
- 保持了倾斜的位置,对标准程序进行了微小的修改.
结论:
- 可以安全地将ARDS患者躺着的位置运送到ECMO中心.
- 在运输过程中倾斜的位置可能会为重症患者提供更好的氧化.
- 需要进一步的研究,以建立安全的卧床患者运输协议.
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