斯里兰卡的重症监护医生使用的手动和呼吸机超通胀参数:在线调查
Indrajith Liyanage1, D A R K Dassanayaka1, F M D Chellapillai2
1Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri Lanka.
斯里兰卡的物理治疗师经常使用手动超通胀 (MHI) 和呼吸机超通胀 (VHI),但通常没有推的参数. 需要对当前MHI和VHI指导方针进行教育,以改善重症监护室 (ICU) 患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 物理治疗实践 物理治疗实践
背景情况:
- 超通胀对于机械通风患者的分泌清除,肺部顺应和氧化至关重要.
- 手动超通胀 (MHI) 和呼吸机超通胀 (VHI) 是常见的方法,但它们的有效性取决于适当的应用.
- 在实践中观察到的差异需要对斯里兰卡的高通胀技术进行评估.
研究的目的:
- 评估斯里兰卡重症监护室 (ICU) 物理治疗师使用MHI和VHI的应用和特定参数.
主要方法:
- 一项在线调查通过社交媒体平台分发给在斯里兰卡各地的ICU工作的物理治疗师.
- 该调查收集了96名受访者的社会人口统计数据,MHI实践和VHI实践.
主要成果:
- 大多数受访者 (78.9%) 使用MHI,通常是例行使用或根据需要使用,自膨胀袋是常见的 (40.6%).
- 很少有参与者跟踪最高吸气压 (PIP) (26%) 或使用压力计.
- 19.8%的患者进行了呼吸器膨胀 (VHI),治疗时间,呼吸数和定义不佳的参数各不相同.
结论:
- 手动高通胀 (MHI) 经常不应用于推的峰值吸气压力 (PIP).
- 呼吸器超通胀 (VHI) 参数没有一致确定或应用.
- 显然需要加强对物理治疗师当前MHI和VHI实践指南的教育.
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