机械通风COVID-19患者的倾斜定位相关的并发症:一个多中心,回顾性观察性研究
Thomas C Rollinson1, Luke A McDonald2, Joleen Rose2
1Department of Intensive Care, Austin Health, Melbourne, VIC, Australia; Department of Physiotherapy, Austin Health, Melbourne, VIC, Australia; Department of Physiotherapy, The University of Melbourne, Melbourne, VIC, Australia; Institute for Breathing and Sleep, Melbourne, VIC, Australia.
概括
对于COVID-19急性呼吸窘迫综合征 (ARDS) 的倾向定位可能会导致并发症. 压力损伤和设备脱落是最常见的,男性性别和更容易的定位事件增加了压力损伤的风险.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 倾斜的定位是改善机械通风患者的气体交换的关键干预措施.COVID-19相关的ARDS.
- 虽然有利,但倾斜的定位与需要监控的潜在并发症有关.
研究的目的:
- 为了确定与机械通风COVID-19 ARDS患者的倾斜定位相关的特定并发症的患病率.
- 确定与这些并发症发生相关的因素.
主要方法:
- 进行了一项多中心的回顾性观察性研究.
- 分析了来自七个重症监护病房的220名机械通风COVID-19 ARDS患者的数据.
- 收集了与553次易受定位事件相关的并发症,基线特征和患者结局.
主要成果:
- 超过一半的患者 (58%) 在倾斜定位时经历了至少一个并发症.
- 压力损伤是最常见的并发症 (42%),男性性别和增加易受定位事件作为显著的风险因素.
- 13%的患者出现了设备脱;没有报告神经或视网膜损伤.
结论:
- 压力受伤和线路脱落是COVID-19 ARDS中容易定位的最常见并发症.
- 压力损伤的风险分层应考虑患者的性别和倾斜定位的持续时间/频率.
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