临床医生对创伤患者补充氧气的态度 - 一项调查
Tobias Arleth1, Josefine Baekgaard1, Oscar Rosenkrantz1
1Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, University of Copenhagen, Inge Lehmanns Vej 6, 2100 Copenhagen, Denmark.
Injury
|October 8, 2024
概括
大多数接受调查的临床医生并不支持为所有创伤患者提供常规补充氧气,他们更喜欢基于氧和水平的更有针对性的方法. 这与当前的高级创伤生命支持指南形成鲜明对比.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 临床实践指南 临床实践指南
背景情况:
- 目前的高级创伤生命支持 (ATLS) 准则建议为严重受伤的创伤患者提供自由补充氧气.
- 这种方法可能导致高氧化,与增加的死亡率和呼吸系统问题有关.
- 临床医生对创伤中补充氧气的态度没有得到充分的记录.
研究的目的:
- 调查欧洲临床医生 (医生和医院前人员) 对严重受伤的创伤患者常规使用补充氧气的态度.
- 将临床医生的意见与现有的ATLS指南进行比较.
主要方法:
- 进行了一项欧洲的,基于网络的,跨部门的调查,对707名受访者进行了调查.
- 评估的主要结果是临床医生是否支持始终给予补充氧气,无论脉冲氧计读数如何.
- 记录了受访者喜欢的氧气剂量和目标氧气和水平.
主要成果:
- 大多数临床医生 (73%) 不支持始终向所有严重受伤的创伤患者提供补充氧气,而不考虑脉冲氧计 (SpO2).
- 对于自发呼吸创伤患者的正常SPO2的中位数首选初始氧气剂量为0L/分钟,58%的人选择不提供任何氧气.
- 临床医生更喜欢在创伤性脑损伤 (TBI) 病例中使用更高的氧气剂量和FiO2.
结论:
- 大多数接受调查的临床医生赞成在创伤护理中对补充氧气采取比当前ATLS指导方针建议更具限制的方法.
- 临床医生的态度表明,基于患者和度的个性化氧气疗法正在逐步发展.
- 可能需要进行进一步的研究,以使临床实践与有关创伤中氧气管理的基于证据的指导方针保持一致.
更多相关视频
相关概念视频
01:16Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
384
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
384
01:16Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
180
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
180
01:19Respiratory Assessment: Purpose and Indications
1.0K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.0K
01:30Administering Oxygen by Mask
255
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
255
01:26Oxygen Delivering System I: Nasal Cannula and Face Mask
247
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
247
01:29Administering Oxygen by Nasal Cannula
413
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
413