在儿科重症监护运输期间的非侵入性呼吸系统支持:回顾性队列研究
Hayley Hutton1, Ahmed Sherif1, Abhijit Ari1
1Department of Pediatric Intensive Care, Great Ormond Street Hospital for Children, London, United Kingdom.
Journal of pediatric intensive care
|December 4, 2024
概括
非侵入性呼吸辅助 (NRS) 对于重症儿童在医院间运输期间是安全的,不良事件和输管率较低. 这项研究没有发现儿科重症监护运输中NRS失败的特定风险因素.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统医学 呼吸系统医学
- 运输医学 运输医学
背景情况:
- 非侵入性呼吸辅助 (NRS) 越来越多地用于在医院间运输期间患有呼吸衰竭的儿科患者.
- 儿科重症护理运输 (PCCT) 团队通常使用高流量鼻腔管 (HFNC),持续正气道压力 (CPAP) 和双级正气道压力 (BiPAP).
研究的目的:
- 描述在PCCT期间接受NRS的儿童的特征.
- 评估NRS在医院间运输过程中的安全性和有效性.
- 为了确定与NRS失败相关的潜在风险因素.
主要方法:
- 在英国 (2017-2019) 通过单一PCCT服务在运输期间接受NRS的儿童的回顾性观察研究.
- 分析患者的人口统计,诊断,并发症,旅行物流,不良事件和NRS失败 (定义为紧急输管).
主要成果:
- 在3,504名运输儿童中,有317名儿童接受了NRS (9%).
- 首要诊断为心肺呼吸系统 (77%),其中59.6%患有并发症.
- 在6.6%的运输中出现了NRS故障,其中6%经历了不良事件;没有发现故障的风险因素.
结论:
- 对于在医院间运输过程中患有呼吸衰竭的儿科患者来说,NRS是一种安全的选择.
- 低的不良事件率和需要输管的需要表明NRS在这个人群中被容忍得很好.
- 可能需要进一步的研究来完善NRS在运输中的风险分层.
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