在不使用常规血液气体测量的情况下,管理已确定的支气管肺功能障碍症
Matthew J Kielt1, Laurie C Eldredge2, Edward G Shepherd1
1Comprehensive Center for Bronchopulmonary Dysplasia, Nationwide Children's Hospital and Department of Pediatrics, The Ohio State University, Columbus, OH, USA.
在36周的月经后年龄 (PMA) 后,治疗患有严重支气管肺功能障碍 (sBPD) 的婴儿是可以在不进行常规血液气体测量的情况下进行的. 这种方法避免了有害的刺激,并且不会对医院的结果产生负面影响.
科学领域:
- 新生儿科学 新生儿科学
- 儿科肺病学 儿科肺病学
- 关键护理医学 关键护理医学
背景情况:
- 严重的支气管肺发育不良症 (sBPD) 通常需要在新生儿中频繁监测血液气体.
- 常规的血液气体采样是新生儿重症监护室 (NICU) 婴儿的一种痛苦的程序.
研究的目的:
- 评估一个指导方针驱动的方法来管理婴儿sBPD没有例行血液气体采样.
- 评估在月经后36周 (PMA) 停止常规血液气体测量对婴儿结局的影响.
主要方法:
- 血气利用率和sBPD婴儿的医院结局的回顾性分析.
- 从2014年到2020年在sBPD住院护理单位收集的数据.
- 纳入标准侧重于在PMA36周或之后被诊断出sBPD的婴儿.
主要成果:
- 在485名符合条件的sBPD婴儿中,有62%的婴儿 (303名婴儿) 在36周的PMA后没有接受血气测量.
- 血液气体测量婴儿的中位数为4个样本 (IQR 1-10) 在PMA后36周.
- 在没有常规血液气体采样治疗的婴儿中,没有观察到对医院结局的不良影响.
结论:
- 经过36周的PMA后,既定的sBPD可以在没有常规血液气体分析的情况下有效管理.
- 停止常规血液气体采样是SBPD婴儿慢性NICU护理阶段的一个可行的策略.
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