在第三级护理新生儿重症监护病房中意外输出管的发生率
Heladia García1, Dulce Ivonne Ramos-Soto2, Guadalupe Miranda-Novales1
1Analysis and Synthesis of Evidence Research Unit, National Medical Center, Mexican Institute of Social Security, CP 06720 Mexico City, Mexico.
Journal of tropical pediatrics
|October 12, 2024
概括
无计划的输出管 (UE) 是新生儿重症监护室的常见并发症,尤其是早产婴儿. 改善内管固定对于减少这些事件和相关并发症至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 关键的护理关键的护理
- 儿科肺病学 儿科肺病学
背景情况:
- 口腔内输管和机械通风 (MV) 是重症监护病房的标准.
- 无计划的输出管 (UE) 是一个严重的并发症,特别是在早产和重症新生儿.
研究的目的:
- 确定第三级护理新生儿重症监护室 (NICU) 意外输出管 (UE) 的患病率.
- 确定与新生儿UE相关的风险因素和并发症.
主要方法:
- 分析性横截面回顾性研究.
- 从手动审查151名接受侵入性MV的新生儿的临床图表中收集的数据.
- 包括围产期数据,MV持续时间,转移,再输管和并发症.
主要成果:
- 在100天的通风中,UE的患病率为2.0个.
- 早产婴儿 (妊娠年龄≤32周,出生体重≤1500克) 受影响最多 (54.7%).
- 缺陷内管 (ETT) 固定是主要原因 (27.7%),大多数事件发生在夜班 (48.1%).
- 在83.3%的病例中需要重新输管,其中96.3%的病例经历了不和和胸等即时并发症.
结论:
- 新生儿中UE的高患病率,特别是早产婴儿,具有显著的再化率和即时并发症.
- 迫切需要为ETT护理制定标准化的协议,以尽量减少NICU中的UE事件.
相关概念视频
Endotracheal Tube Extubation
452
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
452
Endotracheal Intubation II: Nursing Management
515
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
515
Endotracheal Intubation I: Procedure
830
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
830
Oxygen 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
Oxygen Delivering System III: Tracheostomy and T-piece
555
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
555
Pneumonia I: Introduction
213
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
213


