在儿童心脏手术后进行心脏静脉切除术:破裂胸部
Jui Shah1, Ashley Sefton1, John Dentel2,3
1Division of Critical Care, Department of Pediatrics, Children's Hospital of Michigan/Central Michigan University, Detroit, MI, USA.
Cardiology in the young
|April 25, 2024
概括
一个新的培训计划改善了在新出现的儿科心脏手术中进行关键任务的响应时间和舒适度. 这种多学科干预加强了团队合作和技术技能,以改善患者护理.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 关键护理医学 关键护理医学
- 医疗模拟 医疗模拟
背景情况:
- 儿童心脏手术患者的紧急复苏需要专门的技能和团队合作.
- 床边椎切除术是一个关键的,尽管很少见的,救命的手术.
- 准备和性能改进后椎切除术还没有得到充分研究.
研究的目的:
- 评估针对新兴儿科心脏手术患者的多学科教育干预措施.
- 评估干预对减少关键任务时间的影响.
- 为了测量护理人员在椎切开手术过程中的舒适度的提高.
主要方法:
- 在三个月内实施了基于模拟的,在现场进行椎切除术的教育干预.
- 在护士聚会期间使用了每周的教育辅助工具;ICU收费护士表现出了能力.
- 干预后的模拟和调查在基线进行,在干预后立即进行,并在6个月后进行.
主要成果:
- 观察到获得除器,设置腹切割设备和提供镇静剂/液体 (p <0.05) 的时间显著减少.
- 陪同家人并获取血液的时间也显著减少 (p < 0.05).
- 在识别设备和设置内部除器时,提供者舒适度增加 (p < 0.01).
结论:
- 一项新的教育干预措施有效地改善了在出现的椎切除术期间的提供者舒适度.
- 干预成功地减少了在这个高风险的场景中执行关键任务的时间.
- 这种方法可以提高儿童心脏外科手术中对新出现的椎切除术的准备.
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