在丹麦重症监护病房中治疗静脉注射术后的消化不良:一项全国调查
Anne Højager Nielsen1,2, Gudrun Kaldan3, Lotte Madsen Gade1
1Department of Anesthesiology and Intensive Care, Gødstrup Hospital, Herning, Denmark.
Acta anaesthesiologica Scandinavica
|May 8, 2024
概括
丹麦ICU中的PED管理表现出缓慢的改善. 需要有系统的查和治疗方案,以提高患者的护理和预防肺炎等并发症.
科学领域:
- 关键护理医学 关键护理医学
- 吞障碍 吞障碍 吞障碍
- 患者安全 患者安全
背景情况:
- 静脉输管术后失足症 (PED) 是严重病情患者内内输管术后的常见并发症.
- 预发性发作可能导致严重的不良事件,包括肺炎,长时间的通风和增加的死亡率.
- 早期识别和治疗食障碍对于预防负面结果至关重要.
研究的目的:
- 调查2023年在丹麦重症监护室 (ICU) 管理PED的现行做法.
- 在PED管理中识别被认为的最佳实践,障碍和促进者.
- 为了将2023年的做法与2017年的数据进行比较,如果有.
主要方法:
- 在2023年4月至5月期间,对丹麦ICU中的失调管理实践进行了横截面调查.
- 数据收集涉及PED查,预防和治疗的自我报告信息.
- 在可能的情况下,与2017年重症监护诊疗评估研究进行了对比.
主要成果:
- 只有50%的丹麦ICU有PED协议;不到一半的患者在输出管后进行常规查.
- 常见的查方法包括口腔机制检查,水测试和面部口腔管治疗,以及一般身体评估.
- 商定的治疗方法包括患者定位,修改食物/液体,人体工程仪器和补偿机动. 障碍包括缺乏专业人员和标准化的协议.
结论:
- 丹麦ICU中对PED的认识和管理正在逐渐改善.
- 系统地实施标准化方案来查和治疗缺食症,对于进一步提高患者护理和治疗结果至关重要.
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