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通过压力吸入器在成年人侵入性机械通风期间给予支气管扩展剂:一个范围审查
Kathleen Asturian1, Mariana Balhego-Rocha1, Diogo Pilger1
1Programa de Posgrado en Asistencia Farmacéutica, Universidad Federal de Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
概括
这篇评论研究了如何给机械通风患者使用压力吸入器给予支气管扩展剂. 结果突出了常见的技术和连接方法,揭示了当前对更好的患者护理知识的差距.
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
- 药理学 药理学是指药理学的学科.
背景情况:
- 通过压力计量剂量吸入器 (pMDIs) 进行支气管扩展剂的使用对在侵入性机械通风治疗的患者至关重要.
- 在通风回路内优化pMDI的输送对于有效的治疗和患者的结果至关重要.
研究的目的:
- 系统地审查和识别pMDIs的给药特征和连接方法,在接受侵入性机械通风的成年患者中连接到通风回路.
主要方法:
- 使用多个数据库 (PubMed,Embase,Cochrane,Lilacs) 进行了全面的范围审查,截至2023年7月.
- 包括对成人ICU患者使用pMDIs进行机械通风的审查,共识,实验和观察研究.
- 关于吸入技术,连接设备和患者护理的数据被提取和合成.
主要成果:
- 分析了23篇出版物,主要是临床试验.
- 萨尔布塔摩尔 (阿尔布托罗尔) 是研究最多的支气管扩展剂.
- 间隔装置是连接pMDIs到电路的最常见方法,其次是直线适配器和直接装置.
- 最佳的位置是灵感肢体,与灵感开始同步.
结论:
- 本综述提供了关于pMDI施用技术的见解,以及机械通风患者的普遍发现.
- 鉴定到的知识差距强调了进一步研究的必要性,以完善支气管扩展剂的输送协议.
- 在这个人群中使用pMDI的标准化方法需要进一步研究.
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